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气管狭窄与瘢痕疙瘩形成(作者译)

[Tracheal stenosis and keloid disposition (author's transl)].

作者信息

Weidauer H

出版信息

Laryngol Rhinol Otol (Stuttg). 1980 Nov;59(11):743-8.

PMID:7464360
Abstract

Patients with disposition for cicatricial keloid are expected to get tracheal stenosis by long time intubation. Latest after 48 hours the respiration done by respirator should be managed by tracheotomy tube. Instead of classic tracheotomy an epitheliced tracheotomy should be preferred. For the therapy of tracheal stenosis--excision of tracheal stenosis and end to end anastomosis as well as tracheal groove by Rethi with transplantation of mucosa--the application of triaminolonacetonoid has proved to avoid restenosis by secondary keloid.

摘要

有瘢痕疙瘩倾向的患者长时间插管后可能会出现气管狭窄。最迟在48小时后,应由气管切开管管理呼吸机辅助呼吸。应首选上皮化气管切开术而非传统气管切开术。对于气管狭窄的治疗——气管狭窄切除术、端端吻合术以及Rethi气管沟黏膜移植术——已证明应用曲安奈德可避免继发性瘢痕疙瘩导致的再狭窄。

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