人工气管置换术2例  

Replacement of Trachea with Artificial Two

作　　者：李前生[1] 王明训[1] 王伟[1] 刘景亮[1] 金明华[1] 姜鹏辉 

机构地区：[1]山东省胸科医院胸外科

出　　处：《中华胸心血管外科杂志》1994年第1期47-48,共2页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：报告２例广泛型气管癌切除气管、行人工气管重建的手术经验。选用人工气管截面面积为气管的５０．８７％，长度为切除气管的６６．７％。临床实践表明，正确选择人工气管的内径和长度是建立排痰机制的关键。２例病人随访１６～２７个月，未发现与人工气管有关的并发症。This paper reports the results of tracheal rebuilding with artificial trachea designed and produced by our hospital in 2 cases of extensive tracheocarcinoma. The average cross section area and the length of the artificial trachea used were about 50.8% and 66.7% of those of the resected trachea respectively.Our clinical observation suggested that appropriate selection of the diameter and the length of the artificial trachea is the key to keep possible expectoration rnechanism after operation. Postural changeat regular intervals necessary to allow the accumulated secretions in the trachea to flow down stimulating the receptors in the mucosa of the carina which initiating a strong cough to expel the secretion. These 2 cases were followed up for 16～27 months.Complications related to the partial replacement of trachea have not yet been found.

关 键 词：人工气管 癌 气管重建术 气管肿瘤 

分 类 号：R734.105[医药卫生—肿瘤]