Pattison C W, Griffin S C, Coker C, Townsend E R, Fountain S W
Harefield Hospital, Uxbridge, Middlesex, England.
Scand J Thorac Cardiovasc Surg. 1990;24(2):153-5. doi: 10.3109/14017439009098060.
A 6-year experience (1981-1987) of palliative intubation of irresectable malignant oesophageal strictures is reported in 110 patients with a mean age of 70.3 (range 41-90) years. Pulsion intubation was performed on 71 patients, 11 (15.5%) of whom died, and traction intubation on 39 with 6 (15.4%) deaths. Seven deaths resulted from instrumental perforation, but six other patients survived perforation and left the hospital in satisfactory condition. Mean in-patient stay was 8 (range 1-26) days. Non-fatal tube-related complications were more common in pulsion intubation, but was found to be highly effective in relieving dysphagia, with shortened hospital stay (mean 6 days) and acceptable morbidity and mortality rates. These results indicate the trend towards, and the increased safety of, pulsion intubation.
报告了1981年至1987年6年间对110例不可切除的恶性食管狭窄患者进行姑息性插管的经验，患者平均年龄70.3岁（范围41 - 90岁）。71例患者进行了脉冲式插管，其中11例（15.5%）死亡；39例进行了牵引式插管，6例（15.4%）死亡。7例死亡是由器械穿孔导致，但另外6例患者穿孔后存活并状况良好地出院。平均住院时间为8天（范围1 - 26天）。非致命性与导管相关的并发症在脉冲式插管中更常见，但发现其在缓解吞咽困难方面非常有效，住院时间缩短（平均6天），发病率和死亡率可接受。这些结果表明了脉冲式插管的趋势及其安全性的提高。
