Ozmen Suay, Ozmen Omer Afsin, Unal Omer Faruk
Bursa Dörtçelik Childrens Hospital, Bursa, Turkey.
Int J Pediatr Otorhinolaryngol. 2009 Jul;73(7):959-61. doi: 10.1016/j.ijporl.2009.03.020. Epub 2009 Apr 23.
To study the outcomes, complications, and indications for pediatric tracheotomies performed at a tertiary referral center.
A retrospective review of hospital records from 1968 to 2005 was conducted to assess all pediatric patients who had undergone tracheotomies.
A total of 282 tracheotomies were performed on patients under 16 years of age. The median age at tracheotomy was 27 months. Upper airway obstruction (infectious diseases, n=101; laryngeal anomalies, n=33; trauma, n=36; tumor, n=33) was the most common indication for tracheotomy (n=203; 72%). Lesser number of patients (n=79; 28%) required tracheotomy for prolonged ventilation. Decannulation was carried out successfully in 71 patients (35%). Total complication rate was 18%; only three patients (1%) died from tracheotomy-related complications, with an overall mortality rate of 19%.
Pediatric tracheotomies were associated with a low incidence of procedure-related mortality and morbidity and successful decannulation in 35% of cases. The majority of procedures were performed due to upper airway obstruction which were most commonly caused by infectious diseases.
研究在一家三级转诊中心进行的小儿气管切开术的结果、并发症及适应证。
对1968年至2005年的医院记录进行回顾性分析，以评估所有接受气管切开术的儿科患者。
共对16岁以下患者进行了282例气管切开术。气管切开术时的中位年龄为27个月。上气道梗阻（传染病，n = 101；喉部异常，n = 33；创伤，n = 36；肿瘤，n = 33）是气管切开术最常见的适应证（n = 203；72%）。较少患者（n = 79；28%）因需要长时间通气而进行气管切开术。71例患者（35%）成功拔管。总并发症发生率为18%；仅3例患者（1%）死于气管切开术相关并发症，总死亡率为19%。
小儿气管切开术与手术相关的死亡率和发病率较低相关，35%的病例成功拔管。大多数手术是由于上气道梗阻进行的，而上气道梗阻最常见的原因是传染病。
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