COVID-19相关的气管狭窄症需要气管切除:一个病例系列
Andrew Yousef1, Isaac Solomon1, George Cheng2
1Department of Otolaryngology-Head and Neck Surgery, University of California, San Diego, San Diego, CA, USA.
The Annals of otology, rhinology, and laryngology
|August 11, 2024
概括
需要气管切除的COVID-19幸存者在长时间的输管和气管切除术后经常发展出气管狭窄症. 这项研究详细介绍了11名此类患者的手术前和手术后发现,强调了手术干预的必要性.
科学领域:
- 肺部病理学 肺部病理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胸部外科手术 胸部外科手术
背景情况:
- 与COVID-19相关的呼吸衰竭经常需要长时间的机械通风和气管切除术.
- 气管狭窄是一种新出现的并发症,患者从严重的COVID-19中恢复过来.
- 鉴定这种特定并发症对于患者管理至关重要.
研究的目的:
- 确定COVID-19相关气管狭窄症患者的术前和术后发现,需要进行气管切除.
- 为了有助于对这种不太描述的病因学的理解.
主要方法:
- 在2020年1月至2023年6月期间,对11名因COVID-19相关气管狭窄而进行气管切除的患者进行了回顾性审查.
- 对临床,放射学,病理学和手术数据的分析.
主要成果:
- 患者的平均年龄为54.1岁,COVID-19的平均住院时间为49.5天.
- 90.9%的患者先前进行了气管切除术,90.9%的患者在开放切除之前接受了内镜干预.
- 气管狭窄的平均长度为3.33厘米,平均切除长度为3.96厘米.
结论:
- 在COVID-19的长期输管治疗后出现的症状性气管狭窄症是一种未被认可的疾病.
- 气管切除是严重,耐火病例的有效治疗方法.
- 这项研究提供了对这种并发症的外科治疗方法的见解.
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