摘要
目的分析喉气管狭窄T形管置入术后发生并发症的原因,总结经验教训。方法回顾性分析4例喉气管狭窄T形管置入术失败的临床资料,并总结引起并发症的原因。结果 4例失败原因分别与T形管外口未堵塞、反复结痂、头部位置和T形管位置不佳刺激局部黏膜产生肉芽瘢痕、瘢痕体质有关,最终长期置气管套管生存。结论喉气管狭窄T形管置入术时应注意选择直径合适的T形管,修剪管的长短,注意上口的位置,并使患者保持正常体位;术后堵塞T形管外口以避免结痂,防止并发症发生。
Objective To analyze causes of unsuccessful T-tube implantation in treatment of laryngotracheal stenosis, and to summarize experiences. Methods Clinical data of 4 patients with laryngotracheal stenosis in unsuccessful T-tube implantation was retrospectively analyzed, and causes of complications were also summarized. Results The causes of unsuccessful T-tube implants were the non banked-up exterior opening of T-tube, repeated crusting, poor head and T-tube positions which stimulated local mueosa to emerge granulation scar, and body constitution of scars. All the patients＇survival depended on long-term tracheal casing pipe. Conclusion During T-tube implantation, attention should be paid to the diameter, length and the upper end position of the tube, and to control patients＇head and neck positions. The exterior opening of the T-tube should be blocked to avoid crusting and complications.
出处
《临床误诊误治》
2013年第4期100-102,共3页
Clinical Misdiagnosis & Mistherapy
基金
烟台市科技计划项目(2010148-20)
关键词
喉
气管狭窄
T形管
并发症
Laryngo
Tracheal stenosis
T-tube
Complication
