气管插管后气管膜部破裂的处理
Management of Post-Intubation Tracheal Membrane Ruptures.
作者信息
Eliçora Aykut, Akgül Aslı G, Topçu Salih, Özbay Serkan, Hoşten Tülay, Sezer Hüseyin F, Eliçora Sultan Şevik
机构信息
Department of Thoracic Surgery, Faculty of Medicine, Kocaeli University, Kocaeli, Türkiye.
Department of Anesthesiology and Reanimation, Faculty of Medicine, Kocaeli University, Kocaeli, Türkiye.
出版信息
Arch Iran Med. 2016 Jul;19(7):491-5.
BACKGROUND
Iatrogenic tracheal rupture is a rare complication after intubation. Overinflation of the tracheal cuff was speculated to be a frequent cause of tracheal rupture. The surgical approach is a widespread treatment for tracheal ruptures. The aim of this study is to evaluate the results of conservative and surgical therapy approaches in tracheal rupture cases inflicted by tracheal intubation.
METHODS
Data on 12 patients who experienced tracheal ruptures secondary to intubation were reviewed. The average age of the patients was 58 years (range of 38 to 81 years). Six patients were men and 6 patients were women. Four of the patients were performed thoracotomy for primary surgery and underwent surgical therapy. 8 patients were treated conservatively. The results of both approaches were evaluated.
RESULTS
Patients, who underwent both conservative and surgical therapy, were completely recovered. There was no rupture originated complication or death.
CONCLUSIONS
Both conservative and surgical therapies are appropriate for treatment of membranous tracheal rupture.
背景
医源性气管破裂是插管后罕见的并发症。气管套囊过度充气被推测为气管破裂的常见原因。手术方法是治疗气管破裂的常用方法。本研究的目的是评估气管插管所致气管破裂病例中保守治疗和手术治疗方法的效果。
方法
回顾了12例因插管导致气管破裂患者的数据。患者的平均年龄为58岁（范围为38至81岁）。6例为男性，6例为女性。其中4例患者接受了开胸手术作为初次手术并接受了手术治疗。8例患者接受了保守治疗。评估了两种方法的效果。
结果
接受保守治疗和手术治疗的患者均完全康复。没有出现破裂引发的并发症或死亡。
结论
保守治疗和手术治疗均适用于膜性气管破裂的治疗。
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