Hadfield Pandora J, Lloyd-Faulconbridge Ruth V, Almeyda John, Albert David M, Bailey C Martin
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London WC1N 3JH, UK.
Int J Pediatr Otorhinolaryngol. 2003 Jan;67(1):7-10. doi: 10.1016/s0165-5876(02)00282-3.
To investigate whether the incidence and indications for paediatric tracheostomy in this unit have changed over recent years.
All paediatric tracheostomies performed between 1993 and 2001 were identified from our departmental database. The indications for these were ascertained by retrospective case note review.
Over the 9-year period studied 362 tracheostomies were performed, the number increased slightly between the first and second half of the period, with peaks in 1997 and 1999. The commonest indication was prolonged ventilation due to neuromuscular or respiratory problems.
This large series shows that the increase in frequency of paediatric tracheostomy performed in this unit over the past decade has been due to conditions such as subglottic and tracheal stenosis, respiratory papillomatosis, caustic alkali ingestion and craniofacial syndromes. Conditions in which tracheostomy are now less common are subglottic haemangioma and laryngeal clefts. Prolonged ventilation remains the commonest indication overall.
探讨近年来本单位小儿气管切开术的发生率及适应证是否发生了变化。
从我们科室的数据库中确定1993年至2001年间所有实施的小儿气管切开术。通过回顾性病历审查确定这些手术的适应证。
在研究的9年期间共实施了362例气管切开术，该期间前半段和后半段的手术数量略有增加，1997年和1999年出现峰值。最常见的适应证是由于神经肌肉或呼吸问题导致的通气时间延长。
这一大型系列研究表明，过去十年本单位实施小儿气管切开术的频率增加是由于声门下和气管狭窄、呼吸道乳头状瘤病、苛性碱摄入和颅面综合征等疾病。目前气管切开术不太常见的疾病有声门下血管瘤和喉裂。通气时间延长总体上仍然是最常见的适应证。
