Migliorini V, Cannizzaro G F, Pavarin M C, Zanoli P, Pivirotto F, Pesce L
Acta Otorhinolaryngol Ital. 1989 Mar-Apr;9(2):131-8.
Continuous oxygen therapy is essential in the treatment of advanced chronic obstructive pulmonary disease (COPD). A transtracheal oxygen administration system is more effective in the rehabilitation of these patients than are traditional systems, nasal canula or Venturi mask devices. In the present work the authors describe a simple technique for introducing the transtracheal catheter. The procedure is performed under local anesthesia and a Teflon catheter is inserted between the second and third tracheal rings. In a case study of 12 patients the complications encountered included purulent drainage of the skin tract and accidental displacement of the transtracheal catheter. No procedure related deaths were incurred. Subjectively, the patients experience a sensation of being able to breathe more easily, thus resulting in increased outdoor activity.
持续氧疗在晚期慢性阻塞性肺疾病(COPD)的治疗中至关重要。经气管给氧系统在这些患者的康复中比传统系统、鼻导管或文丘里面罩装置更有效。在本研究中,作者描述了一种插入经气管导管的简单技术。该操作在局部麻醉下进行,将一根聚四氟乙烯导管插入气管第二和第三软骨环之间。在一项对12例患者的病例研究中,遇到的并发症包括皮肤通道的脓性引流和经气管导管的意外移位。未发生与操作相关的死亡。主观上,患者感觉呼吸更轻松,从而增加了户外活动。