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气管切开术

Tracheotomy.

作者信息

Gorelik Daniel, Zheng Yixuan James, Wu Franklin, Wang Ran A

机构信息

Department of Otolaryngology, Houston Methodist, 6550 Fannin Street, Suite 2011, Houston, TX 77030, USA.

Department of Otolaryngology, Houston Methodist, 6550 Fannin Street, Suite 2011, Houston, TX 77030, USA.

出版信息

Med Clin North Am. 2026 Jan;110(1):103-113. doi: 10.1016/j.mcna.2025.05.014. Epub 2025 Sep 24.

Abstract

A tracheotomy is a reversible airway surgery that is performed commonly for hospitalized patients and outpatients. Tracheotomy is performed for many reasons, including emergent need to access airway for patients who cannot be intubated, inability to safely extubate patients due to respiratory failure or upper airway masses, obstructive sleep apnea, and progressive neurodegenerative disease-causing need for prolonged airway pressure support. This article presents an overview of the terminology, indications, post-operative expectations, and maintenance of trachs for medical providers to reference when they are managing a patient who needs or already has a tracheotomy.

摘要

气管切开术是一种可逆性气道手术,常用于住院患者和门诊患者。进行气管切开术的原因有很多,包括因无法插管而急需气道通路、因呼吸衰竭或上气道肿物而无法安全拔管、阻塞性睡眠呼吸暂停以及因进行性神经退行性疾病而需要长期气道压力支持。本文概述了气管切开术的术语、适应证、术后预期以及护理要点,以供医疗人员在处理需要或已经接受气管切开术的患者时参考。

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