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气管食管间隙脓肿

Tracheoesophageal space abscess.

作者信息

Fee W E, Wilson G G

出版信息

Laryngoscope. 1979 Mar;89(3):377-84. doi: 10.1288/00005537-197903000-00006.

Abstract

Two cases of a newly described complication of endotracheal intubation are presented with a discussion of the pathophysiology, clinical symptoms, and treatment evaluation. Treated late, bilateral arytenoid fixation associated with subglottic stenosis is the eventual outcome. Reconstructive efforts in one patient have allowed decannulation two years after onset of his disease following bilateral arytenoidectomy. No reconstructive efforts were attempted in the second patient because of her basic underlying disease process. Early recognition is important and exploratory laryngotracheal-fissure advocated for suspected cases in order to perhaps decrease the devastating consequences of late treatment.

摘要

本文介绍了两例新描述的气管插管并发症,并讨论了其病理生理学、临床症状及治疗评估。若治疗延迟,最终结果是双侧杓状软骨固定伴声门下狭窄。其中一名患者在发病两年后,经双侧杓状软骨切除术后进行重建手术得以拔管。由于第二位患者存在基础疾病,未尝试进行重建手术。早期识别很重要,对于疑似病例主张进行喉气管探查性裂开术,以期减少延迟治疗的严重后果。

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