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小儿气管切开术并发症原因分析
引用本文:吴柳青,梁正中,唐向荣.小儿气管切开术并发症原因分析[J].山东大学耳鼻喉眼学报,2007,21(2):163-165.
作者姓名:吴柳青  梁正中  唐向荣
作者单位:柳州医学高等专科学校第一附属医院, 广西 柳州 545002
摘    要:目的:探讨小儿气管切开术的特点,其并发症的原因及预防措施,确保手术的安全性。方法:对136例小儿气管切开病例进行回顾性分析,并经统计学处理。结果:136例中发生各种并发症19例(14.00%),分别为出血6例、气肿6例、术中窒息2例、食道损伤2例、术后脱管3例。<3岁者、紧急、局麻下气管切开术并发症发生率分别为26.67%、26.83%、26.47%。结论:小儿气管切开术并发症的发生与年龄、手术时机、麻醉方式、手术方法及护理是否得当有密切关系。

关 键 词:气管切开术  并发症  儿童    
文章编号:1673-3770(2007)02-0163-03
收稿时间:2006-11-19
修稿时间:2006-11-192007-01-31

Complications of tracheotomy in children
WU Liu-qing,LIANG Zheng-zhong,TANG Xiang-rong.Complications of tracheotomy in children[J].Journal of Otolaryngology and Ophthalmology of Shandong University,2007,21(2):163-165.
Authors:WU Liu-qing  LIANG Zheng-zhong  TANG Xiang-rong
Institution:Department of Otolaryngology,First Affiliated Hospital of Liuzhou Academy of Medical Sciences,Liuzhou 545002,Guangxi,China
Abstract:Objective: To explore the characteristics, reasons for complications and prevention measurement of tracheotomy in children. Method: The clinical data of 136 cases of tracheotomy from 1986 to 2001 were retrospectively analyzed. Results: Complications happened in 19 cases, including bleeding in 6 cases, emphysema in 6 cases, asphyxia during the operations in 2 cases, esophagus injuries in 2 cases, and drops of the tubes during the operations in 3 cases. The frequency was 26.67% in children below 3 years. The frequency was 26.8% for emergent tracheotomy and 26.47% for tracheotomy with a local anaesthesia. Conclusion: Complications in tracheotomy in children are closely related to the age, operative occasion, operative method and nursing.
Keywords:Tracheotomy  Complication  Children
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