Mathisen Douglas
General Thoracic Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Founders 710, Boston, MA 02114, USA.
Thorac Surg Clin. 2018 May;28(2):199-210. doi: 10.1016/j.thorsurg.2018.01.010.
Tracheal disease is an infrequent problem requiring surgery. A high index of suspicion is necessary to correctly diagnose the problems. Primary concerns are safe control and assessment of the airway, familiarity with the principles of airway surgery, preserving tracheal blood supply, and avoiding anastomotic tension. A precise reproducible anastomotic technique must be mastered. Operation requires close cooperation with a knowledgeable anesthesia team. The surgeon must understand how to achieve the least tension on the anastomosis to avoid. It is advisable to examine the airway before discharge to check for normal healing and airway patency.
气管疾病是一种需要手术治疗的罕见问题。必须保持高度的怀疑指数才能正确诊断这些问题。主要关注点在于气道的安全控制和评估、熟悉气道手术原则、保留气管血供以及避免吻合口张力。必须掌握精确可重复的吻合技术。手术需要与知识渊博的麻醉团队密切合作。外科医生必须明白如何使吻合口张力最小以避免相关问题。出院前检查气道以查看愈合情况是否正常以及气道是否通畅是明智的做法。
