Anoukoum T, Bellamy J, Do Dang Q
Centre Chirurgical Val-d'Or, Saint-Cloud.
Ann Chir. 1993;47(2):184-9.
From January 1984 to march 1990, we performed 30 tracheal resections for post-intubation or post-tracheostomy inflammatory stenosis. After discussing the mechanism and the pathology of the tracheal lesions, we emphasise the importance of careful history taking when evaluating a patient with tracheal stenosis in order to distinguish patients with normal lungs (who needed respiratory resuscitation for acute and reversible respiratory failure) from patients with compromised lungs (patients with chronic pulmonary disease who needed respiratory resuscitation for acute respiratory failure). When selection of the patients was good and evaluation careful, tracheal resection was rater easy, with uneventful postoperative course and good long-term results.
1984年1月至1990年3月,我们对30例因插管后或气管切开术后炎性狭窄而进行了气管切除术。在讨论气管病变的机制和病理后,我们强调在评估气管狭窄患者时仔细询问病史的重要性,以便将肺部正常的患者(因急性和可逆性呼吸衰竭需要呼吸复苏)与肺部功能受损的患者(患有慢性肺病因急性呼吸衰竭需要呼吸复苏)区分开来。当患者选择得当且评估仔细时,气管切除术相对容易,术后过程平稳,长期效果良好。