| 小儿气管切开术并发症及其防治 |
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| 引用本文： | 张素英. 小儿气管切开术并发症及其防治[J]. 中华耳鼻咽喉科杂志, 2000, 35(3): 223-225 |
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| 作者姓名： | 张素英 |
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| 摘 要： | 目的 探讨小儿气管切开关发症的原因，预防及相关因素，保证手术安全性。方法 对１９７４年３月～１９９９年７月施行的２２７例小儿气管切开病例进行回顾性分析。结果 ２２７例中１８９例顺利拔管，２３例因原发病未愈带管出院，１５例因原发病死亡。发生各种并发症１４例；术中窒息２例，食管损伤１例，颈部皮下气肿５例，纵隔气肿１例，脱管５例，其中２例因脱管导致窒息死亡。结论 小儿气管切开并发症的发生与年龄，原发疾病
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| 关 键 词： | 气管切开术 手术后并发症 手术中并发症 儿童 |
Complications and its prevention in 227 cases of childhood tracheotomy] |
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| S Zhang. Complications and its prevention in 227 cases of childhood tracheotomy][J]. Chinese Journal of Otorhinolaryngology, 2000, 35(3): 223-225 |
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| Authors: | S Zhang |
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| Affiliation: | Department of Otohrinolaryngology, Beijing Children's Hospital, Capital University of Medical Sciences, Beijing 100045, China. |
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| Abstract: | OBJECTIVE: To explore the correlation between the occurrence and the prevention of complications in childhood tracheotomy. METHODS: A total of 227 cases of childhood tracheotomy were analyzed based on clinical data from March 1974 to July 1999. RESULTS: Of 227 cases, 189 were decannulated successfully. Twenty-three cases discharged with tracheotomy tube. Fifteen cases died of primary disease. Fourteen of 227 cases had complications. Among them, 2 had intraoperative suffocation, 1 had trauma of esophagus, 5 complicated subcutaneous emphysema in cervical region and 1 had mediastinal emphysema. Five of 14 cases had postoperative drop out of the tube, 2 of them died of suffocation. CONCLUSION: The occurrence of complications is related to age, original disease, operative method and nursing. |
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