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近年来,我科收治60例气管切开后拔管困难小儿,经治疗47例拔管,13例未能拔管。病例情况:60例患儿中男44例,女16例。年龄在2岁以下者41例,2岁以上19例。戴管时间不满6个月者28例,超过6个月者32例。气管切开的原发疾病以喉部病变为主,其中急性喉炎31例,各种原因造成的喉及气管狭窄17例,其他疾患12例。47例拔管病例中,影响拔管的因素有:呼吸系统炎症14例,原发病未治愈9例,气管切开位置偏高11例,喉及气管瘢痕狭窄4例,右侧声带外展麻痹1例,拔管方法不恰当8例。
In recent years, our department received 60 cases of tracheotomy difficult extubation in children, the treatment of extubation in 47 cases, 13 cases failed to extubation. Case: 60 cases of male 44 cases, 16 females. 41 cases were under 2 years old and 19 cases were over 2 years old. Weaning time less than 6 months in 28 cases, more than 6 months in 32 cases. The primary disease of tracheotomy was laryngeal lesions, including 31 cases of acute laryngitis, 17 cases of throat and tracheal stenosis caused by various reasons, and 12 cases of other diseases. Of the 47 extubation cases, the factors influencing extubation were respiratory system inflammation in 14 cases, primary disease in 9 cases, tracheotomy position in 11 cases, throat and tracheal scar in 4 cases, right vocal cord abduction 1 cases of paralysis, extubation method is not appropriate in 8 cases.