改良气管插管：小儿气管造口管的紧急替代方案。
Modified endotracheal tube: emergency alternative to paediatric tracheostomy tube.
作者信息
Kurien M, Raviraj R, Mathew J, Kaliaperumal I, Ninan S
机构信息
Department of ENT, Head and Neck Surgery, Speech and Hearing, Christian Medical College, Vellore, Tamilnadu, India.
出版信息
J Laryngol Otol. 2011 Jul;125(7):729-31. doi: 10.1017/S0022215111000636. Epub 2011 Apr 13.
BACKGROUND
In an emergency, the non-availability of a conventional paediatric tracheostomy tube is a therapeutic challenge for the attending surgeon.
OBJECTIVE
To describe a simple alternative to a paediatric tracheostomy tube for use in an emergency situation.
METHOD
Case report of a 14-year-old boy who developed tracheomalacia following partial cricotracheal resection for subglottic stenosis. As a suitably sized tracheostomy tube (with a long narrow segment) was not available, an endotracheal tube was modified and used successfully. Details of the modification, and a relevant literature review, are also discussed.
CONCLUSION
In the paediatric age group, when an appropriately sized tracheostomy tube is not available, a modified endotracheal tube is a simple temporary alternative; this may be especially useful in an emergency.
背景
在紧急情况下，无法获得常规儿科气管切开管对主治外科医生来说是一个治疗挑战。
目的
描述一种在紧急情况下可替代儿科气管切开管的简单方法。
方法
一名14岁男孩因声门下狭窄行部分环状气管切除术后发生气管软化的病例报告。由于没有合适尺寸的气管切开管（带有长而窄的部分），对一根气管内导管进行了改良并成功使用。还讨论了改良的细节以及相关文献综述。
结论
在儿科年龄组中，当没有合适尺寸的气管切开管时，改良的气管内导管是一种简单的临时替代方法；这在紧急情况下可能特别有用。
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