Alstrup P, Sørensen H R
J Thorac Cardiovasc Surg. 1984 Apr;87(4):547-9.
In a series of 74 tracheal resections, six were performed in boys aged 2 to 13 years. One patient was intubated shortly after operation because of bulbar paralysis with swallowing difficulties. He died 5 months later of traumatic hydrocephalus. Another patient was reintubated because of an accompanying nondiagnosed glottis stenosis which later was treated successfully. Four patients have been followed up from 4 to 10 years. In these patients tracheoscopy and x-ray examination have shown that the anastomosis has grown at the same rate as the rest of the trachea. It is concluded that operation can be performed in children at any age provided that swallowing is normal and accompanying laryngeal stenosis is excluded.
在一系列74例气管切除手术中,有6例是在2至13岁的男孩中进行的。一名患者术后不久因延髓麻痹伴吞咽困难而插管。他5个月后死于外伤性脑积水。另一名患者因伴有未被诊断出的声门狭窄而再次插管,该狭窄后来得到成功治疗。4名患者已随访4至10年。在这些患者中,气管镜检查和X线检查显示吻合口与气管其他部分以相同速度生长。得出的结论是,只要吞咽正常且排除伴有喉狭窄,任何年龄的儿童都可以进行手术。