论文部分内容阅读
气道狭窄的治疗方法很多,应根据每个病例的具体情况选择最适宜的治疗方法。本文报道了6例幼儿喉气管狭窄的治疗经过。例1为1岁女孩患麻疹肺炎,例2为7岁男孩因肺炎行气管切开不能拔管,2例均做了气管切开,其中对狭窄局限在气管内的病例,则切除肉芽疤痕组织,留置T型硅胶管,获得了良好的结果。作者们认为T型硅胶管不仅对气管而且对声门部粘连,声门下狭窄等也可使用。T型硅胶管具有对气管粘膜刺激小、不引起组织反应、易从气管造口插入,管内不易附着粘液等优点,但在声门上留置时间过长,亦可引起声嘶,因此要限制留管时间。例3为1岁女孩,因细支气管炎;例4为6岁男孩,
The treatment of airway stenosis many, should be based on the specific circumstances of each case choose the most appropriate treatment. This article reports the treatment of laryngeal tracheal stenosis in 6 children. Case 1 was a 1-year-old girl with measles and pneumonia. Case 2 was a 7-year-old boy who had tracheotomy for pneumonia and had tracheotomy in both cases. Tracheotomy was performed in 2 of them, with excision of granulation scar tissue in cases where the stenosis was limited to the endotracheal tube , Leaving T-type silicone tube, get good results. The authors believe that T-type silicone tube not only on the trachea but also on the glottis adhesion, subglottic stenosis can also be used. T-type silicone tube with a small tracheal stimulation, does not cause tissue reactions, easy to insert from the tracheostomy tube, the tube is not easy to attach the advantages of mucus, but the glottis indwelling too long, can also cause hoarseness, so to stay Tube time. Example 1 is a 1 year old girl with bronchiolitis; Example 4 is a 6 year old boy,