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| 再次气管切开手术方法探讨 | |
| 引用本文： | 翟翔,张金玲,刘钢,林鹏. 再次气管切开手术方法探讨[J]. 中国现代神经疾病杂志, 2012, 12(1): 76-77. DOI: 10.3969/j.issn.1672-6731.2012.01.017 |
| 作者姓名： | 翟翔 张金玲 刘钢 林鹏 |
| 作者单位： | 1. 天津医科大学研究生院2008级,300070 2. 天津市环湖医院耳鼻咽喉科,300060 3. 天津市第一中心医院耳鼻咽喉头颈外科,300192 |
| 摘 要： | 脑出血或脑梗死复发并发肺感染患者再次行气管切开术时,以原切口气管环下方造瘘手术难度相对较小、危险性低且手术时间相对较短,尤其适用于甲状腺体积较大患者;术前存在气管狭窄患者,推荐在原气管环造瘘处剔除瘢痕组织.放置8号带气囊气管套管,扩张气管.术后切口部位出血或渗血,以油纱条或碘仿填塞止血24～48 h即可. |
| 关 键 词： | 气管切开术 脑出血 脑梗死 肺炎 |
Exploration of second tracheotomy |
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| ZHAI Xiang,ZHANG Jin-ling,LIU Gang,LIN Peng. Exploration of second tracheotomy[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2012, 12(1): 76-77. DOI: 10.3969/j.issn.1672-6731.2012.01.017 | |
| Authors: | ZHAI Xiang ZHANG Jin-ling LIU Gang LIN Peng |
| Affiliation: | 1 Grade 2008, Graduate School, Tianjin Medical University, Tianjin 300070, China 2 Department of Otolaryngology Head and Neck Surgery in Tianjin Huanhu Hospital, Tianjin 300060, China 3 Department of Otolaryngology Head and Neck Surgery in Tianjin First Center Hospital, Tianjin 300192, China |
| Abstract: | Objective To explore the surgical management of second tracheotomy. Methods Retrospective analysis of 32 cases with recurrent cerebrovascular disease or pulmonary infection who under went second tracheotomy in our hospital from 2008 to 2010. Results These 32 cases were operated successfully without complication. Among these cases, 6 patients occurred hemorrhage after operation and the hemostatic effect was good. Conclusion Second tracheotomy is difficult. It depends on the first tracheotomy condition and the trachea exposure to decide the operation mode and incision position. |
| Keywords: | Tracheotomy Cerebral hemorrhage Cerebral infarction Pneumonia |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |