摘要
目的探讨儿童复杂气管支气管异物取出术中,气管切开并同期行气管切开口缝合的可行性和可能并发症。方法对5例4~6岁复杂气管支气管异物的患儿行气管切开异物取出术。异物分别为塑料笔帽1例、光滑圆柱状塑料串珠2例、光滑金属球1例、光滑陶瓷棒1例。均行保留自主呼吸的静脉麻醉,硬支气管镜下将异物松动并牵拉至声门下,于3~4气管环间横形切开气管,直视下将异物经气管切开处取出。观察呼吸状况至平稳,Ⅰ期缝合气管切开口。结果5例均成功取出异物。气管切开处I期缝合后,均未出现呼吸困难、皮下气肿,术后感染等并发症。随访均1年以上,未出现气管狭窄。结论气管切开取儿童复杂气管支气管异物,同期气管切开口缝合是可行的。轻柔操作和避免多次经声门试取是减轻喉水肿、保持呼吸通畅的关键。
Objective To explore a feasible operative method for removal of complicated foreign bodies through a tracheoscope by tracheotomy and sutured tracheostomy.Methods Five patients,aged from 4 to 8 years with complicated airway foreign bodies were subjected to removal operations from March 2004 to July 2007.Foreign bodies included one plastic ball-pen cap,two smooth plastic beads,one steel ball and one smooth ceramic stick.Under general anesthesia,foreign bodies were loosened and pulled to the sub-glottic region...
出处
《山东大学耳鼻喉眼学报》
CAS
2009年第1期68-69,共2页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
气管支气管异物
气管切开
外科手术
Bronchial foreign body
Tracheotomy
Surgical procedures
operative
