严重气管瘢痕狭窄的外科治疗
被引量:2
Surgical management of severe cicatriciai tracheal stricture
摘要
气管瘢痕狭窄可因气管插管、切开或外伤后引起,发生率达10%-22%,但出现喘鸣、呼吸困难等呼吸道梗阻症状的严重狭窄甚为少见,仅1%-2%。一旦发生严重气管狭窄,患者随时可能因局部炎症水肿、分泌物潴留出现生命危险,需紧急处置。2008年1月至2014年11月,我科手术治疗严重气管瘢痕狭窄9例,患者均顺利恢复,现报告如下。
出处
《中华胸心血管外科杂志》
CSCD
2016年第9期554-556,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
参考文献15
-
1Zias N, Chroneou A, Tabba MK, et al. Post tracheostomy and postintubation tracheal stenosis: report of 31 cases and review of the liter-ature[J]. BMC Pulm Med, 2008, 8:18. doi: 10.1186/1471-2466-8-18.
-
2Melkane AE, Matar NE, Haddad AC, et al. Management of postin-tubation tracheal stenosis : appropriate indications make outcomedifferences[ J] . Respiration, 2010,79( 5 ) : 395-401. doi ; 10.1159/000279225.
-
3Hashemzadeh S, Hashemzadeh K, Kakaei F, et al. Surgical treat-ment of postintubation tracheal stenosis: Iranian experience of effectof previous tracheostomy [ J ]. Int J Gen Med, 2012 ,5 ( 1 ) : 93 -98.doi:10.2147/UGM. S27559.
-
4Herrak L, Ahid S, Abouqal B, et al. Tracheal stenosis after intuba-tion and/or tracheostomy [ J ] . EJCDT,2014,63 ,(1) : 233-237. doi :10.1016/j. ejcdt. 2013.10.015.
-
5Brigger MT, Boseley ME. Management of tracheal stenosis[ J]. CurrOpin Otolaryngol Head Neck Surg, 2012,20(6) :491-496. doi: 10.I097/M00.0b013e328358566d.
-
6Grillo HC,Donahue DM, Mathisen DJ, et al. Postintubation trachealstenosis, treatment and results[ J ]. J Thorac Cardiovasc Surg, 1995 ,109(3):486492.
-
7Webb WR, Ozdemir LA, Ikins PM, et al. Surgical management oftracheal stenosis[J]. Ann Surg,1974,179(5) :819-824.
-
8Ahn HY,Su Cho J,Kim YD,et al. Surgical outcomes of post intu-bational or post tracheostomy tracheal Stenosis: report of 18 cases insingle institution [ J ]. Ann Thorac Cardiovasc Surg, 2015,21(1):14-17. doi:10.5761/atcs. oa. 13-00335.
-
9黄建成,钱若筠,党亮,杨哲.气管狭窄患者的手术麻醉处理[J].临床麻醉学杂志,2011,27(11):1123-1124. 被引量:4
-
10Huang JC, Qian RJ, Dang L, et al. Anesthetic management of pa-tients with tracheal stenosis during operation[ J]. J Clin Anethesiol,2011, 11(11):1123-1124.
二级参考文献5
-
1Rea F, Callegaro D, Loy M, et al. Benign tracheal and laryngotracheal stenosis: surgical treatment and results. Eur J Cardiothorac Surg, 2002,22 : 352-356.
-
2Mori N, Kitagawa S, Nakamura K, et al. Airway management in tracheal stenosis caused by malignant goiter. Masui, 2002, 51 : 896-898.
-
3Asai T, Shingu K. Airway management of a patient with tra cheal stenosis for surgery in the prone position. Can J Anaesth, 2004,51 : 733-736.
-
4Chiu CL,Teh BT,Wang CY. Temporary cardiopulmonary by pass and isolated lung ventilation for tracheal stenosis and re construction. Br J Anaesth,2003,91 : 742-744.
-
5徐美英,沈耀峰,吴东进,陈蕾,李劲松,梁昌毅.气管重建手术的麻醉管理[J].临床麻醉学杂志,2007,23(8):676-677. 被引量:5
共引文献3
-
1孔亮,张斌,程庆好,李蕾.气管镜用于甲状腺肿物致气道狭窄麻醉处理1例[J].中华全科医学,2014,12(2):331-332.
-
2白宏.严重气管狭窄介入治疗麻醉一例[J].中国临床实用医学,2017,8(1):94-95. 被引量:1
-
3张奕文,李集源,杨少民,张忠其,徐颖华,邢祖民.颈部巨大肿块致气管狭窄患者的气管导管型号探讨[J].中国医学创新,2017,14(21):74-77. 被引量:2
同被引文献12
-
1赵凤瑞,张银合,杨金龙,邢学忠,云阔.气管切除术麻醉及手术方式探讨[J].中华外科杂志,2005,43(2):83-86. 被引量:19
-
2赵薇,李成辉,贾乃光,费宏亮,赵凤瑞.气管切除与人工气管重建手术25例麻醉方法分析[J].中华外科杂志,2008,46(13):981-984. 被引量:3
-
3赵凤瑞,张银合,杨金龙,田礼新,黄昱.赵氏人工气管临床应用远期随访[J].中华胸心血管外科杂志,2008,24(4):220-222. 被引量:6
-
4段德溥,信德和,杨可贤,张绍明,张珩,才志刚,吴胜勇,李玉萍.气管巨大癌肿斜行袖式切除“Z”字成形吻合术(附1例报告)[J].中国癌症杂志,2000,10(2):150-152. 被引量:1
-
5高卉,易杰,黄宇光.主气管肿物手术的气道建立和麻醉管理[J].中国医学科学院学报,2013,35(3):322-326. 被引量:6
-
6赵薇,田礼新,鲍艳飞,焦子天,孟冬祥,刘羽翔,赵凤瑞.急性气管壁折陷大气道梗阻综合征及其治疗[J].中华胸心血管外科杂志,2014,30(3):170-171. 被引量:1
-
7马胡赛,蔡奕欣,张霓,付向宁.气管良性狭窄袖式切除重建外科治疗[J].中国胸心血管外科临床杂志,2014,21(5):695-696. 被引量:1
-
8Yi-Lin Liang Guano-Nan Liu Hou-Wen Zheng Yu Li Le-Cheng Chen Yu-Yan Fu Wen-Tao Li Si-Ming Huang Mei-Ling Yang.Management of Benign Tracheal Stenosis by Small-diameter Tube-assisted Bronchoscopic Balloon Dilatation[J].Chinese Medical Journal,2015(10):1326-1330. 被引量:8
-
9谢冬,陈昶,王海峰,包敏伟,黄威,杨洋,姜思明,郑卉,胡学飞,段亮,周晓,范江,朱余明,费苛,姜格宁.闭合性气管支气管损伤15例[J].中华胸心血管外科杂志,2016,32(2):94-98. 被引量:6
-
10蒋荣芳,徐明鹏,李莉华,柳广南.良性气道狭窄治疗现状及研究进展[J].吉林医学,2018,39(5):967-970. 被引量:5
引证文献2
-
1赵薇,田礼新,孟冬祥,赵凤瑞.疑难气管切除的麻醉和手术经验:附5例报告[J].中华胸心血管外科杂志,2018,34(11):671-674.
-
2陶绍霖,康珀铭,沈诚,冯涌耕,周景海,邓波,王如文,谭群友.气管袖状切除及端端吻合重建术治疗良恶性气管狭窄的临床分析[J].局解手术学杂志,2020,29(10):804-807.
-
1王春玉,李艳丽.野外紧急处置蛇咬伤5例[J].沈阳部队医药,2009,22(3):161-161.
-
2Huston CJ,刘鲁霞.犬咬伤的紧急处置[J].国外医学(护理学分册),2001,20(12):578-578.
-
3曹晓龙,赵正平.腹腔镜诊治外科急腹症51例临床分析[J].辽宁医学杂志,2012,26(3):128-129.
-
4于丽华,卫方方,吕戌芳.气管切开病人并发气道狭窄的原因及其护理[J].中华腹部疾病杂志,2005,5(7):535-536.
-
5张宁,程燕,曲满召,袁矿生.右美托咪定、芬太尼分别复合丙泊酚麻醉的宫腔镜手术患者喉罩置入效果比较[J].山东医药,2016,56(47):72-74. 被引量:25
-
6刘鲁霞.电击伤[J].国外医学(护理学分册),2004,23(3):107-108.
-
7赵必增.崴脚,为何多是外侧足踝部[J].自我保健,2012(9):4-4.
-
8高洪顺.急腹症鉴别诊断之浅见[J].中华临床医学杂志,2006,7(4):85-86.
-
9李琦,林建萍,曾丙香.神经外科重症患者的呼吸道管理[J].解放军护理杂志,2009,26(11):53-54. 被引量:12
-
10陈世强,朱习平,梁建平,韦理直,陈慧,李东云.镍钛记忆合金网状支架治疗气管狭窄3例报告[J].广西医学,2005,27(1):131-132. 被引量:1