Wain John C
Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
Chest Surg Clin N Am. 2003 May;13(2):231-46. doi: 10.1016/s1052-3359(03)00034-6.
Postintubation tracheal stenosis is a clinical problem caused by regional ischemic necrosis of the airway. The incidence of postintubation tracheal stenosis has decreased with recognition of its etiology and modifications in the design and management endotracheal and tracheostomy tubes; however, it remains the most common indication for tracheal resection and reconstruction. Single-stage resection and reconstruction by a competent tracheal surgeon results in good or satisfactory results in 93.7% of patients, with a failure rate of 3.9% and a mortality rate of 2.4%. The intellect and skill of Dr. Grillo has made the etiology and management of postintubation stenosis obvious to us all.
气管插管后气管狭窄是一种由气道局部缺血性坏死引起的临床问题。随着对其病因的认识以及气管内导管和气管造口管设计与管理的改进，气管插管后气管狭窄的发生率有所下降；然而，它仍然是气管切除和重建最常见的适应证。由经验丰富的气管外科医生进行的一期切除和重建，93.7%的患者可获得良好或满意的效果，失败率为3.9%，死亡率为2.4%。格里洛医生的智慧和技能让我们所有人都清楚地了解了气管插管后狭窄的病因和治疗方法。
