查詢結果分析
相關文獻
- 小兒氣管切開術之臨床分析
- 兒科氣切病人之分析研究
- 小兒氣管切開術之趨勢變化
- COVID-19疫情時代的小兒耳鼻喉科照護與手術建議
- 氣管切術之臨床分析
- Orbital Rhinocerebral Mucormycosis Associated with Diabetic Ketoacidosis: Report of Survival of a 10-Year-Old Boy
- Anesthesia for Pediatric Herniorrhaphy or Hydrocelectomy: Comparison of Propofol/Ketamine and Thiopentone/Halothane
- 小兒腦血管疾病
- Succinylcholine-Induced Cardiac Arrest in Unsuspected Becker Muscular Dystrophy--A Case Report
- 認識小兒發燒
頁籤選單縮合
題 名 | 小兒氣管切開術之臨床分析=Clinical Analysis of Pediatric Tracheostomy |
---|---|
作 者 | 黃志銘; 李國森; 楊政謙; 林書賢; 張克昌; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷 期 | 34:6 民88.11-12 |
頁 次 | 頁448-455 |
分類號 | 417.6892 |
關鍵詞 | 氣管切開術; 小兒; Tracheostomy; Pediatrics; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:小兒氣管切開術為一救命的手術,其併發症及死亡率均較成人為高。本文乃提出本科對小兒氣管切開術的手術經驗及臨床分析。方法:本科自1991年12至1999年2月,收集57例接受小兒氣管切開術的病例。就其性別、年齡、插管時間、病因、併發症及手術預後等進行分析並加以討論。結果:57例中,男性29例(50.9%),女性28例(49.1%)。平均年齡11.5個月(若扣除一12歲及一14歲之病例,平均年齡則降為5.88個月)。其中小於1歲者佔48例(84.2%)。其平均插管時間為35.2天。病因中有17例為雙側聲帶麻痺(29.4%),12例為聲門下狹窄(20.7%)。57例中有11例成功拔管(19.3%),平均從進行氣管切開術至成功拔管的時間為561天。有11例(19.3%)出現併發病,其中以痰阻塞氣切管最多。有12例死亡(21.1%),其中以肺炎引起敗血症及痰阻塞氣切管最常見。結論:小兒氣管切開其技術較成人氣管切開術為難,護理照顧上亦較成人複雜,且其死亡率及併發症亦較成人為高。故需仔細評估小兒氣管切開術之適應症,術前可以纖維內視鏡或通氣式支氣管鏡加以評估,術後亦可藉其評估拔管之時間。 |
英文摘要 | BACKGROUD: Tracheostomy has been known in pediatrics as a life-saving surgical procedure with significant morbidity and mortality. The complication rates are also greater in children than in adults. The purpose of this article is to present our experience with pediatric tracheostomy. METHOD: We reviewed the crcord of 57 pediatric patients who had tracheostomy performed from December, 1991 to February, 1999 at Mackay Memorial Hospital. Their sexes, ages, intubation periods, underlying diseases, complications, and duration of cannulation were recorded. RESULTS: There were 29 boys (50.9%) and 28 girls (49.1%). The ventilation bronchoscopy or fibrobronchoscopy were used for evaluation of fairway condition preoperatively. The mean age at tracheostomy was 11.5 months (IF we excluded two patients who were 12 and 14 years old, the mean age was 5.88 months). Indications for surgery were bilateral vocal cord paralysis--17 cases (29.4), subglottic senosis-12 cases (20.7%) and others. At the end of the study, 11 patients were successfully decannulated after a mean duration of 18 months. Complicaations related to the tracheostomy occurred in 11 patients (19.3%) and tube obstruction was the most common cause. Twelve patients died (21.1%) during the cannulation period. Sepsis caused by pneumonia and tube obstruction were the most common causes of death. CONCLUSION: The surgical techniques for tracheostomy in peditatric patients are more difficult with significantly higher mortality and complication rates than in adults. Pre-operative and post-operative airway evaluation with ventilation bronchoscopy or flexible fiberoptic endoscopy are important. |
本系統中英文摘要資訊取自各篇刊載內容。