Simon B, Handler S D
J Otolaryngol. 1981 Dec;10(6):440-8.
Troublesome airway problems necessitating the presence of a tracheostomy for extended periods of time are now not uncommon in children. To date, little attention has been devoted to the communication problems these young patients encounter. Experience with 44 children with tracheostomies, some of whom are ventilator-dependent, at the Children's Hospital of Philadelphia has enabled us to develop a therapy program that we feel would be useful to other speech professionals treating such patients. The speech pathologist must take an active role in the evaluation and management of these patients and the education of the family and hospital staff. The ultimate goal is to provide communicative and feeding skills to these handicapped children.
需要长期进行气管造口术的棘手气道问题如今在儿童中并不罕见。迄今为止，很少有人关注这些年轻患者所面临的沟通问题。在费城儿童医院对44名气管造口术患儿（其中一些患儿依赖呼吸机）的治疗经验，使我们得以制定出一个治疗方案，我们认为该方案对其他治疗此类患者的言语专业人员会有所帮助。言语病理学家必须在这些患者的评估和管理以及对家庭和医院工作人员的教育中发挥积极作用。最终目标是为这些残疾儿童提供沟通和进食技能。
