Schultz-Coulon H J
HNO. 1985 May;33(5):204-7.
The mortality and complication rates of prolonged endotracheal intubation and tracheostomy are now similar. A patient is reported to show that prolonged intubation cannot be recommended for the treatment of subglottic laryngotracheitis. laryngotracheal stenosis after such treatment is a considerably more difficult therapeutic problem than a tracheal stenosis after tracheostomy. It also produces irreversible disturbance of laryngeal function. For this reason early tracheostomy, after endotracheal intubation for 24 h at most, is to be preferred in severe pseudocroup.
长期气管插管和气管切开术的死亡率和并发症发生率目前相近。据报道有一名患者表明，不建议采用长期插管治疗声门下喉气管炎。这种治疗后的喉气管狭窄比气管切开术后的气管狭窄是一个困难得多的治疗问题。它还会产生不可逆的喉功能障碍。因此，对于严重的哮吼，最多在气管插管24小时后尽早进行气管切开术更为可取。
