婴幼儿期无名动脉对气管的压迫：手术治疗是否合理？
Innominate artery compression of the trachea in infancy and childhood: is surgical therapy justified?
作者信息
Welz A, Reichert B, Weinhold C, Uberfuhr P, Mantel K, Döhlemann C, Hecker W
出版信息
Thorac Cardiovasc Surg. 1984 Apr;32(2):85-8. doi: 10.1055/s-2007-1023354.
We reviewed innominate artery compression of the trachea in 10 medically treated patients (group I) and 6 children who underwent innominate arteriopexy (group II). The symptoms were as follows: (1) stridor (80% in group I, and 66% in group II), (2) recurrent bronchopulmonary infections (40% in group I, 66% in group II) and (3) apneic attacks (10% in group I and 100% in group II). Diagnosis was made in all cases by tracheobronchoscopy . It revealed severe tracheal stenosis (narrowing more than 2 thirds) in all children treated by surgery. In group I the tracheal stenosis was mild (narrowing less than one third) in 5 cases, moderate (narrowing from one third to 2 thirds) in 4 cases and severe in only one case. The indication for surgery was based on a history of apneic attacks. In this study innominate arteriopexy has proven to be a reliable and low risk procedure which relieved reflex apnea and recurrent bronchopulmonary infections in all 6 children operated upon.
我们回顾了10例接受内科治疗的患者（第一组）和6例接受无名动脉固定术的儿童（第二组）的无名动脉对气管的压迫情况。症状如下：（1）喘鸣（第一组为80%，第二组为66%），（2）反复支气管肺部感染（第一组为40%，第二组为66%），以及（3）呼吸暂停发作（第一组为10%，第二组为100%）。所有病例均通过气管支气管镜检查做出诊断。结果显示，所有接受手术治疗的儿童均存在严重的气管狭窄（狭窄超过三分之二）。在第一组中，5例患者的气管狭窄为轻度（狭窄小于三分之一），4例为中度（狭窄从三分之一至三分之二），仅1例为重度。手术指征基于呼吸暂停发作史。在本研究中，无名动脉固定术已被证明是一种可靠且低风险的手术，在接受手术的所有6名儿童中均缓解了反射性呼吸暂停和反复支气管肺部感染。
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