Marshall R D
Thorax. 1969 Jan;24(1):78-83. doi: 10.1136/thx.24.1.78.
A retrospective survey of 140 cases of elective tracheostomy following open-heart surgery has been undertaken. All the tracheostomies were performed by surgeons of the Cardiac Unit using a standard technique during the years 1962 to 1966 inclusive. The indications during this period are discussed and possible reasons for the high incidence of tracheostomy are considered. The complications have been carefully assessed. The results indicate that, although there is room for improvement, a reduction in the number and severity of complications has been achieved. In particular there have been few late sequelae, which is attributed to good surgical technique and the adoption of the Björk operation. In 60% of the patients there were no complications; one death was directly attributable to tracheostomy.
对140例心脏直视手术后择期气管切开术病例进行了回顾性调查。所有气管切开术均由心脏科的外科医生在1962年至1966年（含）期间采用标准技术进行。讨论了这一时期的适应证，并考虑了气管切开术高发生率的可能原因。对并发症进行了仔细评估。结果表明，尽管仍有改进空间，但并发症的数量和严重程度已有所降低。特别是晚期后遗症很少，这归因于良好的手术技术和采用了比约克手术。60%的患者没有并发症；1例死亡直接归因于气管切开术。
