在婴儿期进行气管造形术后达到正常的肺功能
Ciara Harrison1,2, Jo Harrison1, Tyson A Fricke2
1Department of Respiratory Medicine, Royal Children's Hospital, Melbourne, Australia.
Interdisciplinary cardiovascular and thoracic surgery
|September 2, 2024
概括
婴儿长段先天性气管狭窄症 (LTS) 的治疗是复杂的. 本案例研究表明,在患有严重LTS的儿童中,成功的手术修复和长期的积极结果,突出了有效的治疗策略.
科学领域:
- 儿科手术 儿科手术
- 呼吸系统医学 呼吸系统医学
- 新生儿科学 新生儿科学
背景情况:
- 婴儿长段先天性气管狭窄症 (LTS) 是一种罕见而严重的疾病.
- 管理LTS带来了重大的临床挑战,往往需要复杂的干预措施.
研究的目的:
- 描述一个患有严重长段先天性气管狭窄症的儿科患者的成功管理.
- 为了突出滑块气管造形术和体外膜氧化后的长期结果.
主要方法:
- 该研究详细介绍了一名患有严重LTS的婴儿的病例,该病例需要体外膜氧化 (ECMO) 和幻灯片气管整形.
- 对气管颗粒进行了重复的支气管镜重新干预.
- 长期随访包括肺功能测试和运动耐受性评估.
主要成果:
- 患者在婴儿时期成功接受了滑块气管造形术.
- 这个孩子经历了反复出现的气管颗粒,需要多次支气管镜干预.
- 在9岁时,患者表现出正常的肺功能和运动耐受性.
结论:
- 滑梯气管整形可以作为婴儿严重的长段先天性气管狭窄症的有效治疗方法.
- 尽管有像颗粒状物这样的并发症,但在适当的管理下,长期的呼吸结果可能是有利的.
- 这一案例强调了多学科护理和对复杂儿科气道异常的持续干预的重要性.
相关概念视频
Oxygen Delivering System III: Tracheostomy and T-piece
620
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
620
Tracheostomy: Procedure and Tubes
457
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
457
Tracheostomy Decannulation
134
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
134
Trachea
1.7K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
1.7K
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
422
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
422
Tracheostomy Care I: Pre-procedural Steps
151
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
151


