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气管插管后喉气管狭窄的治疗。

Treatment of post-intubation laryngotracheal stenosis.

作者信息

Kossowska E, Korycki Z, Walkiewicz W, Marcínski A

出版信息

Int J Pediatr Otorhinolaryngol. 1980 Nov;2(4):301-7. doi: 10.1016/0165-5876(80)90035-x.

Abstract

Post-intubation laryngotracheal stenosis in children is an important therapeutic problem in pediatric otolaryngology. The numbers of children treated by prolonged intubation and resuscitated children are increasing. In the Department of Pediatric Otolaryngology in Warsaw, 6 children were treated for post-intubation laryngotracheal stenosis. In the treatment the method of longitudinal intralaryngotracheal incisions was applied; in 3 cases with tracheotomy followed by cellophane separation and in 3 cases without the use of separator and without tracheotomy. There were no complications connected directly with the operation. Pneumonia was a frequent later complication making treatment difficult. Good therapeutic results were obtained.

摘要

儿童气管插管后喉气管狭窄是小儿耳鼻咽喉科一个重要的治疗问题。接受长时间插管治疗的儿童数量以及复苏儿童的数量都在增加。在华沙的小儿耳鼻咽喉科,有6名儿童接受了气管插管后喉气管狭窄的治疗。治疗采用了纵向气管内切开术;3例进行了气管切开术,随后用玻璃纸分离,3例未使用分离器且未进行气管切开术。没有直接与手术相关的并发症。肺炎是常见的后期并发症,使治疗变得困难。获得了良好的治疗效果。

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