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气管插管后病变的外科治疗。

Surgical treatment of post-intubation lesions of the trachea.

作者信息

Grillo H C

出版信息

Acta Chir Belg. 1977 May-Jun;76(3):361-9.

PMID:899571
Abstract

One hundred and fifty-six patients with post-intubation lesions of the trachea were treated surgically. Of these patients 14 had cuff lesions as a result of ventilatory assistance with endotracheal tubes only. Cuff lesions predominated in those who had tracheostomy tubes. There were six tracheo-esophageal and one tracheoarterial fistulas. The majority of the patients were repaired by end to end anastomosis through the cervical route, most of the others through the cervico-mediastinal route with only five patients by the transthoracic approach. Ninety-one percent have achieved either a good or satisfactory result to date.

摘要

156例气管插管后损伤患者接受了手术治疗。其中14例仅因气管内插管通气辅助导致套囊损伤。套囊损伤在使用气管造口管的患者中占主导。有6例气管食管瘘和1例气管动脉瘘。大多数患者通过颈部途径进行端端吻合修复,其他大多数通过颈纵隔途径修复,只有5例采用经胸途径。迄今为止,91%的患者取得了良好或满意的结果。

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