“拔管恐惧症”是指当气管通道足够通气且无明显的肺部或神经学的不正常,而是儿童心理学上依赖于气管切开术。基本机制尚不清楚。似乎精神现象不能解释有时遇到的呼吸困难、喘呜和紫绀。本文目的是根据51个儿童去套管的回顾,并提出可能的机制。拔管程序是去管前所有儿童均受检查有无疾病,然后在全麻下做内窥镜气道检查,将气管套管换成Alder-Hey 医院银制气管套管和夜间做 Extubation phobia means that when the tracheal passages are sufficiently ventilated and have no obvious lung or neurological abnormalities, children are psychologically dependent on tracheotomy. The basic mechanism is not clear. It seems that the psychic phenomenon does not explain the dyspnea, wheezing and cyanosis sometimes encountered. The purpose of this article is based on a review of 51 children with trocars and suggests possible mechanisms. Extubation procedure is to go to the tube before all children are checked for disease, and then under endoscopy in general anesthesia airway examination, the tracheal tube replaced by Alder-Hey hospital tracheal tube and silver do