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气管切开术过时了吗?

IS TRACHEOSTOMY OBSOLETE?

作者信息

Mehta A K

机构信息

Classified Specialist (ENT) and President SMB, Bhopal.

出版信息

Med J Armed Forces India. 2000 Oct;56(4):320-322. doi: 10.1016/S0377-1237(17)30219-8. Epub 2017 Jun 12.

DOI:10.1016/S0377-1237(17)30219-8
PMID:28790752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5532133/
Abstract

Standard Tracheostomy is the method routinely used to relieve upper airway obstruction. This method though effective has its attendant complications. Minitracheostomy, which is a small cannula of 4 mm diameter introduced through the cricothyroid membrane has been tried in our series to relieve inspiratory stridor and also to deliver anaesthesia. The arterial oxygen saturation increased very significantly from 81.66% to 97.67%. The cannula was well accepted by the patients and there were very few complications.

摘要

标准气管切开术是常规用于缓解上气道梗阻的方法。这种方法虽然有效,但也有其相应的并发症。微创气管切开术是一种通过环甲膜插入的直径为4毫米的小套管,我们对其进行了尝试,以缓解吸气性喘鸣并实施麻醉。动脉血氧饱和度从81.66%显著提高到97.67%。患者对该套管接受度良好,并发症极少。

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本文引用的文献

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A complication of cricothyroid "minitracheostomy"--oesophageal perforation.环甲膜“微型气管切开术”的一种并发症——食管穿孔。
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Minitracheostomy in elective surgery of the larynx: an alternative to formal tracheostomy.喉择期手术中的微创气管切开术:正规气管切开术的一种替代方法。
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