新型冠状病毒病 2019 大流行期间和之前患有喉气管病变和气道受损患者的治疗结果：一家三级医院的经验。
Treatment outcomes in patients with laryngotracheal lesions and compromised airway during and prior to the coronovirus disease 2019 pandemic: a tertiary institution's experience.
机构信息
Department of Otolaryngology, Lausanne University Hospital CHUV, Switzerland.
Department of Clinical Sciences and Community Health, University of Milan, Italy.
出版信息
J Laryngol Otol. 2021 Oct;135(10):897-903. doi: 10.1017/S0022215121002140. Epub 2021 Aug 13.
OBJECTIVE
This study aimed to compare treatment outcomes in patients with laryngeal and tracheal stenosis treated during and prior to the coronavirus disease 2019 pandemic period.
METHOD
Patients treated for laryngotracheal lesions with impending airway compromise during the active pandemic period were matched with those treated for similar lesions in the preceding years in a monocentric tertiary hospital setting.
RESULTS
During the pandemic period of 55 days, 31 patients underwent 47 procedures. Seven patients (2 children, 5 adults) had open airway surgery, and one had an operation-specific complication. Twenty-four patients (10 children, 14 adults) underwent 40 endoscopic interventions without any complications. Operation specific results during and prior to the pandemic were comparable.
CONCLUSION
The management strategy in patients with laryngotracheal lesions and impending airway compromise should not be altered during periods of risk from coronavirus disease 2019. Avoiding a tracheostomy by performing primary corrective surgery or proceeding with a definitive decannulation would be beneficial in these patients to reduce the risk of contagion.
目的
本研究旨在比较新冠肺炎疫情期间和之前治疗喉气管狭窄患者的治疗效果。
方法
在一家单中心三级医院，将在疫情活跃期间因危及气道而行治疗的喉气管病变患者与前几年治疗的类似病变患者进行匹配。
结果
在 55 天的疫情期间，31 名患者接受了 47 次治疗。7 名患者（2 名儿童，5 名成人）接受了开放性气道手术，其中 1 名患者出现了与手术相关的并发症。24 名患者（10 名儿童，14 名成人）接受了 40 次内镜介入治疗，没有任何并发症。疫情期间和之前的手术特定结果相当。
结论
在新冠肺炎风险期间，对于有喉气管病变和即将出现气道阻塞的患者，其管理策略不应改变。对于这些患者，通过进行原发性矫正手术或进行确定性拔管来避免行气管切开术，将有助于降低感染风险。
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