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題 名 | 氣管造口術及環甲狀軟骨切開術=Tracheostomy and Cricothyroidoctomy |
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作 者 | 蘇萬福; | 書刊名 | 國防醫學 |
卷 期 | 31:2 2000.08[民89.08] |
頁 次 | 頁112-117 |
專 輯 | 耳鼻喉科急症專輯 |
分類號 | 416.899 |
關鍵詞 | 氣切管氣囊; 食道氣管瘻管; Esophagotracheal fistula; Tracheostomy tube and cuff; |
語 文 | 中文(Chinese) |
中文摘要 | 隨者呼吸治療機之倡行,氣管切開術之使用也變得普通,技術愈熟練則手術早期之併發症如出血、氣功管移位及痰塊堵塞等,發生的機率也愈少,而漸漸被一些晚期併發症,如喉部窄縮、氣管窄縮、食道氣管、?管、氣管無名動脈管等所取代,這些都與氣切管之氣囊壓力有關。氣管切開術之適應症分為五大類,包括:(1)氣道阻塞。(2)支持呼吸。(3)肺部清潔。(4)呼吸道死腔之減少。(5)阻塞性睡眠呼吸中止症候群之處理。 |
英文摘要 | With the introduction of intermittent positive pressure ventilation in the late 1940s, tracheotomy for ventilatory support became a common procedure. Increased familiarity with the operation reduced the early operative complications, such as bleeding, tube displacement, and crusting. These early complications were replaced with a new set of late complications, related to both the tracheotomy tube and the cuff, including laryngeal and subglottic stenosis, tracheal stenosis, tracheoesophageal fistula, and innominate artery rupture. It soon became evident that the majority of injuries were related to the cuff of the tracheostomy tube rather than tube size or type. Indications for the procedure may be classified into five broad categories: (1)airway obstruction, (2)respiratory support, (3)pulmonary hygiene, (4)elimination of dead space, and (5)treatment of obstructive sleep apnea. |
本系統中英文摘要資訊取自各篇刊載內容。