O'Neill J A
J Pediatr Surg. 1984 Jun;19(3):235-8. doi: 10.1016/s0022-3468(84)80176-1.
Experience with 38 patients with subglottic stenosis and two with tracheal stenosis is reviewed. The average age of patients in this series was 18 months and all developed their problem because of the need for endotracheal intubation and assisted ventilation. It was concluded that endotracheal intubation is safe in infants for up to 3 to 4 weeks but no longer than seven days in patients over 6 months of age. Since the presence of infection contributes to airway stenosis, the latter intervals should be shortened when this factor is present. While direct operative repair has been described for the management of subglottic and upper tracheal stenosis, serial endoscopic resection of scar, dilation and intralesional steroids have proven to be effective therapy in the vast majority of patients within 1 year of initiation of therapy.
回顾了38例声门下狭窄患者和2例气管狭窄患者的治疗经验。该系列患者的平均年龄为18个月，所有患者均因需要气管插管和辅助通气而出现问题。得出的结论是，气管插管在婴儿中3至4周内是安全的，但6个月以上患者不超过7天。由于感染的存在会导致气道狭窄，当存在该因素时，后一时间段应缩短。虽然已经描述了直接手术修复用于治疗声门下和上段气管狭窄，但在治疗开始后1年内，连续内镜下瘢痕切除、扩张和病灶内注射类固醇已被证明是绝大多数患者的有效治疗方法。
