Jones R, Bodnar A, Roan Y, Johnson D
Am J Dis Child. 1981 Apr;135(4):367-8. doi: 10.1001/archpedi.1981.02130280057018.
Five infants with postintubation subglottic stenosis were identified among 64 intubated patients in a follow-up clinic. The presence of laryngeal lesions was not suspected until three weeks to three months after discharge from their initial hospitalization. The onset of stridor, often precipitated by respiratory illness, led to the diagnosis, which in one case was delayed for as long as three months. No correlation was found between the presence of the severity of laryngeal pathology and the gestational age of the infants or the duration of intubation in this study. In spite of the precautions taken for the intubation of neonates requiring assisted ventilation, subglottic stenosis may develop in these infants and should always be considered in newborn intensive care unit graduates when they manifest refractory or recurrent respiratory obstruction in the first year of life. Routine follow-up of all intubated neonates to detect subglottic stenosis is recommended.
在一家随访诊所的64例插管患者中，发现了5例插管后声门下狭窄的婴儿。直到他们首次住院出院后三周到三个月，才怀疑有喉部病变。喘鸣的发作通常由呼吸道疾病诱发，从而得以诊断，其中1例诊断延迟长达三个月。在本研究中，未发现喉部病理严重程度与婴儿胎龄或插管持续时间之间存在相关性。尽管对需要辅助通气的新生儿插管采取了预防措施，但这些婴儿仍可能发生声门下狭窄，当新生儿重症监护病房的出院患儿在出生后第一年出现难治性或复发性呼吸道梗阻时，应始终考虑到这一情况。建议对所有插管新生儿进行常规随访，以检测声门下狭窄。
