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[人工呼吸后喉与气管损伤]

[Injury to the larynx and trachea following artificial respiration].

作者信息

Wey W

出版信息

Schweiz Med Wochenschr. 1985 Feb 9;115(6):194-6.

PMID:3975589
Abstract

A general interdisciplinary survey of trends within intensive care units is necessary in order to further reduce the risk of laryngo-tracheal injury requiring treatment after prolonged intubation. Endoscopic controls of the larynx and cervical trachea should be recommended as urgent during long intubations, to ensure that a secondary tracheotomy does not ultimately occur too late. Only a perfectly performed tracheotomy minimises complications (stenoses). Repeated laryngoscopy and endoscopy of the trachea with a fibreoptic system (a few days after extubation) is recommended after every prolonged intubation.

摘要

为了进一步降低长时间插管后需要治疗的喉气管损伤风险,有必要对重症监护病房内的趋势进行全面的跨学科调查。对于长时间插管,应建议紧急进行喉镜和颈段气管的内镜检查,以确保气管切开术不会最终实施得太晚。只有完美实施的气管切开术才能将并发症(狭窄)降至最低。建议在每次长时间插管后,使用纤维光学系统(拔管几天后)对气管进行重复喉镜检查和内镜检查。

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