Biering-Sørensen M, Biering-Sørensen F
Centre for Spinal Cord Injured, Rigshospitalet, National University Hospital, Hornboek, Denmark.
Paraplegia. 1992 Sep;30(9):656-60. doi: 10.1038/sc.1992.129.
Among 600 traumatic spinal cord injured (SCI) patients admitted during a 20 year period, 67 had a tracheostomy performed (11.2%). Of these 67 patients 46 had a cervical SCI. A concomitant thoracic trauma had occurred significantly more often in the group with thoracic or lumbar SCI than in those with a cervical SCI. The period from injury to tracheostomy was 0-48 days (median 4.4 days), and from tracheostomy to decannulation 3-167 days (median 31 days). At follow up 20 (30%) had died, primarily because of respiratory problems. Of the remaining 47 patients, 43 (91%) responded to a follow up questionnaire 3.5-21.7 years (median 10.4 years) after the injury. In the follow up 53% reported never to have had any inconvenience or trouble related to the tracheostomy. The major inconvenience among the others had been of cosmetic origin (28%), and 3 had had a surgical revision for this reason. At the time of follow up 9 patients (21%) still had certain complaints, primarily described as difficulty in swallowing. Minitracheostomy might in the future reduce the number of these complications.
在20年期间收治的600例创伤性脊髓损伤（SCI）患者中，67例行气管切开术（11.2%）。在这67例患者中，46例为颈髓损伤。胸段或腰段脊髓损伤组合并胸部创伤的发生率显著高于颈髓损伤组。受伤至气管切开的时间为0 - 48天（中位时间4.4天），气管切开至拔管的时间为3 - 167天（中位时间31天）。随访时，20例（30%）死亡，主要原因是呼吸问题。其余47例患者中，43例（91%）在受伤后3.5 - 21.7年（中位时间10.4年）回复了随访问卷。随访中，53%的患者报告从未因气管切开术而有任何不便或困扰。其他患者中主要的不便来自外观方面（28%），有3例因此接受了手术修复。随访时，9例患者（21%）仍有某些不适，主要表现为吞咽困难。微型气管切开术未来可能会减少这些并发症的发生。
