Koka B V, Jeon I S, Andre J M, MacKay I, Smith R M
Anesth Analg. 1977 Jul-Aug;56(4):501-5. doi: 10.1213/00000539-197707000-00008.
Incidence of and contributory factors in postintubation laryngeal edema were determined in 7875 children under 17 years of age. Data were assembled in the manner of a prospective study. With an overall incidence of 1 percent, children between ages 1 and 4 were most susceptible. Excessive size of the endotracheal tube was suspect in half of the cases. Other factors that increase trauma to the larynx while an endotracheal tube is in place showed significant correlation to the total incidence of postintubation laryngeal edema. No tracheostomies were required.
在7875名17岁以下儿童中确定了插管后喉水肿的发生率及促成因素。数据采用前瞻性研究的方式收集。总体发生率为1%,1至4岁的儿童最易患病。一半的病例怀疑气管内导管尺寸过大。在气管内导管留置期间,其他增加喉部创伤的因素与插管后喉水肿的总发生率显示出显著相关性。无需进行气管切开术。