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小儿慢性喉狭窄常需行气管切开术。但长期戴管屡致严重副作用,妨碍鼻呼吸,影响氧气吸人,且时有呼吸道感染之虞。Fearon & Cotton(1972)曾报告25例小儿声门下喉狭窄,有6例死于气管切开术后合并症。因此,多年来耳鼻咽喉科学界公认:小儿慢性喉狭窄不宜手术,以免妨碍患儿的喉发育。多数医生宁愿待患儿喉部骨架发育成熟再行手术。但已有许多学者以及作者们最近的实验与临床研究却取得了与前述认识相反的结果,表明喉部管腔早期再造手术恢复喉部正常功能,不但有利于患儿全身的发育,亦有利于
Children with chronic laryngeal stenosis often need tracheotomy. However, the long-term wear and tear tube repeated serious side effects, impede nasal breathing, affecting oxygen inhalation, and sometimes the risk of respiratory infections. Fearon & Cotton (1972) reported 25 cases of children with subglottic stenosis, 6 patients died of tracheotomy complications. Therefore, otolaryngology for many years recognized by the scientific community: Children with chronic laryngeal stenosis should not be surgery, so as not to hinder the children’s laryngeal development. Most doctors would rather treat children with laryngeal skeleton mature and then surgery. However, many scholars and authors recent experimental and clinical studies have achieved the opposite conclusion with the previous understanding that early throat reconstructive surgery to restore normal laryngeal function, not only conducive to the development of children with whole body, but also conducive to