Conner G H, Maisels M J
Laryngoscope. 1977 Jan;87(1):87-91. doi: 10.1288/00005537-197701000-00010.
One hundred consecutive cases of orotracheal intubation in the premature and term newborn at the Hersehy Medical Center were studied retrospectively. The reason for intubation was for respiratory failure most commonly associated with hyaline membrane disease. The duration of intubation ranged from six hours to 63 days. Seventy-nine percent required intubation for more than 24 hours and 28 percent required intubation for more than one week. No tracheotomies were performed. There were 56 survivors, 50 of which were seen in follow-up examination at three, six or 18-month intervals. There were no cases of clinically evident upper airway damage or obstruction in this group. Post mortem examinations were carried out on 35 infants with tracheal necrosis found in one case. The authors feel that orotracheal intubation is superior to nasotracheal intubation and tracheotomy in this age group. This method of management should be carried out where there is adequate trained personnel and professional staff and equipment capable of proper orotracheal tube placement and management.
对赫希医疗中心100例早产和足月新生儿经口气管插管病例进行回顾性研究。插管原因最常见的是与透明膜病相关的呼吸衰竭。插管时间从6小时至63天不等。79%的患儿需要插管超过24小时，28%的患儿需要插管超过一周。未进行气管切开术。有56名存活者，其中50名在3个月、6个月或18个月的间隔期接受了随访检查。该组中无临床明显的上气道损伤或梗阻病例。对35例婴儿进行了尸检，仅1例发现气管坏死。作者认为，在这个年龄组中，经口气管插管优于经鼻气管插管和气管切开术。这种管理方法应在有足够训练有素的人员、专业医护人员以及能够正确放置和管理经口气管导管的设备的地方实施。
