Denoyelle F, Garabedian E N
Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital d'enfants Armand-Trousseau, Paris.
Rev Mal Respir. 1996 Jul;13(3):259-64.
Assisted ventilation in children may cause acquired lesions of the trachea and bronchi. Symptoms may appear even during or after assisted ventilation. Tracheobronchoscopy is the best method for diagnosis of tracheobronchial abnormalities. Tracheobronchial granulomas and stenosis, and tracheobronchomalacia are the most common adverse effects of assisted ventilation via either endotracheal tube or tracheostomy. The frequency of tracheobronchial lesions is higher in case of assisted ventilation via tracheostomy, with a high incidence of stomal complications.
儿童辅助通气可能导致气管和支气管的获得性病变。症状甚至可能在辅助通气期间或之后出现。气管支气管镜检查是诊断气管支气管异常的最佳方法。气管支气管肉芽肿、狭窄和气管支气管软化是经气管插管或气管造口进行辅助通气最常见的不良反应。经气管造口进行辅助通气时，气管支气管病变的发生率更高，造口并发症的发生率也很高。
