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阻塞性睡眠呼吸暂停中的气管造口管故障

Tracheostomy tube failure in obstructive sleep apnea.

作者信息

Rodman D M, Martin R J

出版信息

West J Med. 1987 Jul;147(1):41-3.

PMID:3424804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1025811/
Abstract

In our institutions we routinely do posttracheostomy sleep studies on patients being treated for obstructive sleep apnea. We have identified several patients who failed to show objective evidence of improvement after tracheostomy. From our studies we have found that both mechanical obstruction and concomitant respiratory control dysfunction caused this failure. A unique tracheostomy tube was constructed to treat the subset of patients with internal collapse of the tracheostomy tube.

摘要

在我们的机构中,我们通常会对接受阻塞性睡眠呼吸暂停治疗的患者进行气管造口术后睡眠研究。我们已经确定了几名患者,他们在气管造口术后未能显示出客观的改善证据。从我们的研究中我们发现,机械性阻塞和伴随的呼吸控制功能障碍导致了这种失败。我们制造了一种独特的气管造口管来治疗气管造口管内部塌陷的患者亚组。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b9/1025811/4112042d3d7e/westjmed00143-0076-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b9/1025811/388797602f1c/westjmed00143-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b9/1025811/4112042d3d7e/westjmed00143-0076-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b9/1025811/388797602f1c/westjmed00143-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b9/1025811/4112042d3d7e/westjmed00143-0076-b.jpg

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1
Tracheostomy tube failure in obstructive sleep apnea.阻塞性睡眠呼吸暂停中的气管造口管故障
West J Med. 1987 Jul;147(1):41-3.
2
Obstructive sleep apnea syndrome and tracheostomy. Long-term follow-up experience.阻塞性睡眠呼吸暂停综合征与气管造口术。长期随访经验。
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引用本文的文献

1
Excessive Dynamic Airway Collapse of the Lower Airway: A Cause for Persistent Sleep Disordered Breathing after Tracheostomy.下气道过度动态气道塌陷:气管切开术后持续性睡眠呼吸障碍的一个原因。
J Clin Sleep Med. 2015 Nov 15;11(11):1337-9. doi: 10.5664/jcsm.5202.
2
Tracheostomy tube failure.气管造口管故障。
West J Med. 1987 Oct;147(4):475.

本文引用的文献

1
Obstructive sleep apnea syndrome and tracheostomy. Long-term follow-up experience.阻塞性睡眠呼吸暂停综合征与气管造口术。长期随访经验。
Arch Intern Med. 1981 Jul;141(8):985-8.
2
Quantitative analysis of sleep and sleep apnea before and after tracheostomy in patients with the hypersomnia-sleep apnea syndrome.
Sleep. 1980;3(3-4):407-23. doi: 10.1093/sleep/3.3-4.407.
3
Surgical correction of anatomic azbnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty.阻塞性睡眠呼吸暂停综合征解剖学异常的手术矫正:悬雍垂腭咽成形术。
Otolaryngol Head Neck Surg. 1981 Nov-Dec;89(6):923-34. doi: 10.1177/019459988108900609.
4
Protriptyline in obstructive sleep apnea: a double-blind trial.普罗替林治疗阻塞性睡眠呼吸暂停:一项双盲试验。
N Engl J Med. 1982 Oct 21;307(17):1037-42. doi: 10.1056/NEJM198210213071701.
5
The treatment of obstructive sleep apnea. Separating the wheat from the chaff.阻塞性睡眠呼吸暂停的治疗。去伪存真。
Am Rev Respir Dis. 1983 Oct;128(4):583-6. doi: 10.1164/arrd.1983.128.4.583.
6
Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares.经鼻持续气道正压通气治疗阻塞性睡眠呼吸暂停的疗效观察
Lancet. 1981 Apr 18;1(8225):862-5. doi: 10.1016/s0140-6736(81)92140-1.
7
Diaphragm pacing by radiofrequency transmission in the treatment of chronic ventilatory insufficiency. Present status.射频传输膈肌起搏治疗慢性通气功能不全。现状。
J Thorac Cardiovasc Surg. 1973 Oct;66(4):505-20.
8
Nocturnal oxyhemoglobin desaturation following tracheostomy for obstructive sleep apnea.阻塞性睡眠呼吸暂停患者气管切开术后的夜间氧合血红蛋白饱和度下降
Am J Med. 1985 Jul;79(1):35-42. doi: 10.1016/0002-9343(85)90543-1.
9
Progesterone for outpatient treatment of Pickwickian syndrome.孕酮用于匹克威克综合征的门诊治疗。
Ann Intern Med. 1975 Oct;83(4):476-9. doi: 10.7326/0003-4819-83-4-476.
10
Progesterone therapy in obese patients with sleep apnea.肥胖睡眠呼吸暂停患者的孕激素治疗。
Arch Intern Med. 1979 Jan;139(1):109-11.