摘要
目的:探讨因甲状腺外伤、术后血肿、肿瘤等所致呼吸困难的急诊急救。方法:对25例患者的诊治进行回顾性分析。结果:总的病死率12%,3例最终死亡,2例死于术前,1例死于术后合并呼吸道感染而引发的呼衰;1例因外伤性血肿窒息再次手术,2例因气管软化术后固定欠妥再次手术。结论:①甲状腺切除的死亡率几乎为零,但甲状腺外伤、术后血肿、肿瘤等所致呼吸困难患者的病死率仍然很高,应引起足够的警惕;②术前采取恰当的方法改善呼吸道梗阻,术中认真做好对气管软化的处理,均是提高抢救成功率的关键。
Objective:To explore the emergency treatment of dyspnoea caused by thyroid trauma,haematoma after operation and tumor.Methods:Twenty-five cases were underwent retrospective study in the research.Results:Case fatality rate was 12%,3 cases were died,one of them died of respiratory infection and respiratory failure after operation,the other two died before our operation;1 case underwent reoperation because asphyxiation caused by traumatic hematoma,2cases underwent reoperation because tracheomalacia improperly ...
出处
《华西医学》
CAS
2008年第5期1113-,共1页
West China Medical Journal
关键词
急诊
甲状腺
气管软化
emergency
thyroid
diagnosis and therapy
tracheomalacia
