对长段气管狭窄的幻灯片气管整形术的早期结果
Gurpreet Singh1, Asiah Kassim2, Khairul Anuar Abdul Aziz1
1Department of Cardiothoracic and Vascular Surgery, Institut Jantung Negara, Kuala Lumpur, Malaysia.
Indian journal of thoracic and cardiovascular surgery
|October 27, 2025
概括
滑梯气管整形术 (STP) 是儿童长段气管狭窄症 (LSTS) 的可行的手术选择. 这项研究表明,STP是有效的,即使同步进行心脏手术,大多数患者在没有通风支持的情况下就会出院.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 生产性气道形 生产性气道形
背景情况:
- 滑梯气管整形术 (STP) 是儿童患者长段气管狭窄症 (LSTS) 的首选手术方法.
- STP带来了重大的手术挑战,并带来了显著的死亡率.
研究的目的:
- 评估STP在患有LSTS的儿童中的可行性和有效性.
- 评估接受STP的患者的结果,包括那些同时接受心脏手术的患者.
主要方法:
- 在2021年至2024年期间接受STP的10名儿科患者的回顾性评估.
- 收集关于患者特征,手术程序和术后结果的数据.
主要成果:
- 十分之九的患者获得了成功的STP,无需术后的体外膜氧化或胸部重新开放.
- 大多数幸存的患者没有进行非侵入性通风就出院,并留在纽约心脏协会I级.
- 一个早期的死亡是由于败血性休克而发生的,一个晚期的死亡是由于支气管透视期间的呼吸停止.
结论:
- STP是儿科LSTS的可行和有效的手术干预.
- 这种手术甚至在涉及同时进行心脏手术的复杂病例中也显示出积极的结果.
相关概念视频
Tracheostomy Decannulation
1.2K
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...
1.2K
Tracheostomy: Procedure and Tubes
2.8K
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...
2.8K
Trachea
4.6K
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...
4.6K
Tracheostomy Care I: Pre-procedural Steps
975
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:
975
Tracheostomy Care II: Procedure
1.3K
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
1.3K


