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儿童声门下区狭窄的处理是小儿耳鼻喉科最感困难的一个临床问题,其发生率和死亡率均较高。儿童严重的喉狭窄常需作气管切开并维持两年以上,在这段时间内死亡率超过20%,近年来死亡率仍接近5%。本文报道了作者们在1981年中期对9例严重声门下狭窄患儿试行的手术矫治情况并对有关问题进行了讨论。 9个儿童中有7名狭窄发生于气管内插管6～90天之后;1例为真性先天性声门下狭窄,在出生时即有严重的呼吸困难;另一例为喉部重度钝性创伤后发展所致。施行手术的年龄为1岁
Treatment of children with subglottic stenosis is one of the most difficult clinical problems in ENT, with a high incidence and mortality. Serious laryngeal stenosis in children often requires tracheostomy and maintenance for more than two years, during which time the mortality rate exceeds 20%, and the mortality rate in recent years is still close to 5%. This article reports the authors’ trial of surgery in nine children with severe subglottic stenosis in mid-1981 and discusses the issues involved. Seven of nine children developed stenosis within 6 to 90 days after endotracheal intubation; one had a true congenital subglottic stenosis with severe dyspnea at birth; the other was severe postoperative laryngeal trauma Due to development. The age of surgery is 1 year old