小儿气管切开术并发症原因分析  

Complications of tracheotomy in children

作　　者：吴柳青[1] 梁正中[1] 唐向荣[1] 

机构地区：[1]柳州医学高等专科学校第一附属医院,广西柳州545002

出　　处：《山东大学耳鼻喉眼学报》2007年第2期163-165,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的:探讨小儿气管切开术的特点,其并发症的原因及预防措施,确保手术的安全性。方法:对136例小儿气管切开病例进行回顾性分析,并经统计学处理。结果:136例中发生各种并发症19例(14.00%),分别为出血6例、气肿6例、术中窒息2例、食道损伤2例、术后脱管3例。<3岁者、紧急、局麻下气管切开术并发症发生率分别为26.67%、26.83%、26.47%。结论:小儿气管切开术并发症的发生与年龄、手术时机、麻醉方式、手术方法及护理是否得当有密切关系。Objective： To explore the characteristics, reasons for complications and prevention measurement of tracheotomy in children. Method： The clinical data of 136 cases of tracheotomy from 1986 to 2001 were retrospectively analyzed. Results： Complications happened in 19 cases, including bleeding in 6 cases, emphysema in 6 cases, asphyxia during the operations in 2 cases, esophagus injuries in 2 cases, and drops of the tubes during the operations in 3 cases. The frequency was 26.67 % in children below 3 years. The frequency was 26.8 % for emergent tracheotomy and 26.47 % for tracheotomy with a local anaesthesia. Conclusion： Complications in tracheotomy in children are closely related to the age, operative occasion, operative method and nursing.

关 键 词：气管切开术 并发症 儿童 

分 类 号：R653[医药卫生—外科学] R768.12[医药卫生—临床医学]