[Iatrogenic laryngotracheal stenosis. A follow-up of 20 recent cases].

Cahiers d'anesthesiologie Pub Date : 1996-01-01
E Wiel, T Depret, D Chevalier, B Vilette, C Erb, P Scherpereel
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引用次数: 0

Abstract

The aim of this study was to analyse the follow-up of patients with a history of endotracheal intubation and/or tracheotomy because of respiratory distress, surgical necessity or long-term resuscitation. Twenty adults were followed up in a ENT facility for laryngeal or tracheal stenosis, of which 7 cases were diagnosed during 1994. This study shows that, in patients with a history of intubation, or intubation followed by tracheotomy, the stenosis developed within two months after resuscitation with a favourable outcome. After tracheotomy only, the stenosis developed later (2 months or more) with more recurrences. The diagnosis of stenosis was made on gradual or acute dyspnea. While respiratory resuscitation methods are essential and often life-saving, they are not without complications. Laryngeal and tracheal stenosis could be largely prevented by more careful techniques of endotracheal intubation and tracheotomy. Periodic endoscopic airway surveillance is useful to detect stenosis even when there is no clinical symptom.

医源性喉气管狭窄。对最近20例病例的跟踪调查]。
本研究的目的是分析因呼吸窘迫、手术需要或长期复苏而进行气管插管和/或气管切开术的患者的随访情况。本文对20例喉或气管狭窄的成人进行了随访,其中7例于1994年确诊。本研究表明,有插管史的患者,或插管后气管切开的患者,在复苏后两个月内出现狭窄,结果良好。仅行气管切开术后,狭窄发生较晚(2个月或更长时间)且复发较多。狭窄的诊断是渐进性或急性呼吸困难。虽然呼吸复苏方法是必不可少的,而且常常能挽救生命,但它们并非没有并发症。通过更仔细的气管插管和气管切开术,可以在很大程度上预防喉和气管狭窄。即使在没有临床症状的情况下,定期的内镜下气道监测对发现狭窄也是有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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