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tracheostomy
相关语句
  气管切开
    Aclinical study on the main complications of prolonged tracheostomy in senlie patients
    老年患者长期气管切开的并发症
短句来源
    Objective\ To analyze the main omplications and causes of prolonged tracheostomy in senile patients.
    目的分析老年患者长期气管切开的并发症及其原因。
短句来源
    Methods: A total of 80 critical patients who require tracheostomy were divided into IPDT group and operation tracheostomy (OT) group Compared the mean time, complication, security and cost in the 2 groups.
    方法 :80例急诊、ICU需气管切开的急危重患者随即分为IPDT组及传统手术 (OT)组 ,对手术操作时间、并发症、安全性、置管时间及费用等方面进行比较。
短句来源
    Conclusion: CO 2 laser was an ideal instrument of Juvenile-onset recurrent respiratory papillomatosis with the following advantages: less bleeding, simple management, prevention of laryngeal structure and avoidence of tracheostomy.
    结论 :CO2 激光手术具有损伤小、出血少、操作简便、可以避免气管切开等优点 ,是目前治疗儿童复发性喉乳头状瘤病的有效方法
短句来源
  气管造口术
    Application of medicastinal tracheostomy below innominate artery in tracheal surgery when larynx and thoracocervical trachea were excised
    喉及颈胸段气管切除无名动脉下方纵隔气管造口术在气管外科中的应用
短句来源
    Comparing percutaneous tracheostomy with open surgical tracheostomy Both will coexist until robust evidence becomes available
    经皮气管造口术与开放性气管造口术的比较 在掌握更充分的证据之前两者将共存
短句来源
    Conclusions:In the circumstances that the reserved inferior trachea of chest is less than 5 cm long after excision of thoracocervical tracheocarcinoma, it is ideal to apply mediastinal tracheostomy below innominate artery.
    结论 :对颈胸段气管癌切除后所保留的低位胸段气管长度不足 5 0cm情况下 ,采用无名动脉下方纵隔气管造口术是一种较为理想的手术方式
短句来源
  气管造口
    “X” Shape Tracheostomy Following Total Laryngectomy
    全喉切除“X”型气管造口成形术
短句来源
    Application of new type tracheostomy in laryngeal carcinoma and hypopharyngeal carcinoma
    气管造口成形术在喉癌、喉咽癌中的临床应用
短句来源
    Objective To establish a tracheostomy model with no stricture and “bowl shaped” collapse.
    目的探讨喉全切除术后建造不狭窄的气管造口同时防止造口处“碗状”塌陷形成的术式。
短句来源
    Objective To introduce a new surgical technique in tracheostomy following total laryngectomy.
    目的 介绍一种新的全喉切除气管造口成形术。
短句来源
    Conclusion The “X” shape tracheostomy following total laryngectomy can sufficiently avoid tracheostomal stenosis(TSS).
    结论 “X”型气管造口成形完全能避免造口狭窄的发生。
短句来源
  “tracheostomy”译为未确定词的双语例句
    Results Steady round opening with an average diameter of (13.2±3.1) mm which could meet the requirements of breath and expectoration was found in 16 cases undergoing tracheostomy using the stent.
    结果 行支架造口成型 16例 ,单纯造口 2 5例 ,前者造口基本为圆形 ,形状稳定 ,平均为直径为 ( 13 .2± 3 .1)mm ,能满足呼吸及排痰需要 ;
短句来源
    Preoperative nasal continuous positive airway pressure treatment as substitute for protective tracheostomy in severe obstructive sleep apnea syndrome
    睡眠呼吸暂停综合征术前经鼻正压通气的治疗
短句来源
    Prevention of tracheostomal stenosis following total laryngectomy using a side-incision of trachea tracheostomy:report of 33 cases
    气管侧切扩大气管造瘘口预防喉全切除后颈部造瘘口狭窄(附33例报告)
短句来源
    Seven cases in the control group underwent protective tracheostomy whose apnea and hypopnea index(AHI) was 28.4~83.5 and lowest saturation oxygen (SaO 2)were 7%~32%.
    对照组及治疗组均经全夜7小时多导睡眠仪监测(polysomnography,PSG)确诊,两组治疗前主要参数对比差异无显著性。
短句来源
    There were 9 similarly severe cases who did not undergo protective tracheostomy in NCPAP treatment group.
    而治疗组中类似严重患者9例,均于UPPP术前接受NCPAP治疗。
短句来源
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  tracheostomy
The endoscopic guided puncture tracheostomy has established itself in many intensive care units.
      
Manufacturers offer complete tracheostomy kits, based on the described techniques from Ciaglia (Cook?-Set), as well as from Griggs (Portex?-Set).
      
The goal of this investigation was to show the advantages, disadvantages, costs and risks of the puncture tracheostomy and to make a comparison using conventional procedures.
      
At present there is a noticable trend in the literature and clinical practise that different medical specialities prefer various procedures of tracheostomy in intensive care medicine rather onesided and without consensus of opinion.
      
The indications are based on both the history of present illness and its course and the contraindications of percutaneous tracheostomy methods.
      
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During 6-year period, 42 patients were treated for hypopharyngeal injuries (17 [40%] of them with penetrating injury, 25 [60%] with blunt injury). Each of them was associated with the injuries of vessels, nerve and deep tissues in the neck or with the injury in the larynx in degrees. During emergency management, tracheostomy were performed in 22 patients (52%), neck exploration and laryngoplasty in 19 patients (45%), incision and drainage of posterior pharyngeal hematoma in 4 patients (9.5%), and suture...

During 6-year period, 42 patients were treated for hypopharyngeal injuries (17 [40%] of them with penetrating injury, 25 [60%] with blunt injury). Each of them was associated with the injuries of vessels, nerve and deep tissues in the neck or with the injury in the larynx in degrees. During emergency management, tracheostomy were performed in 22 patients (52%), neck exploration and laryngoplasty in 19 patients (45%), incision and drainage of posterior pharyngeal hematoma in 4 patients (9.5%), and suture repair in 3 patients (7%). No fatal outcomes were led to these cases. It is considered that nursing care is very important in dealing with patients with hypopharyngeal injuries. And the nursing work, such as maintaining an adequate airway, choosing upper or lower extremity veins for intravenous fluids, the control of oral feeding and nasogastric decompresion, is quite effective for decreasing complications and is very helpful for the patient's recovery.

近6年来收治的42例外伤性下咽部损伤中,包括贯通伤17例,钝挫伤25例,多伴有不同程度颈部软组织、血管、神经等合并伤。紧急处理时,行气管切开术22例;颈部探查并作喉成形术19例,清创缝合3例,咽后壁血肿切排4例,全部病例均存活(100%)。作者经治后体会到,根据下咽部解剖结构的特点,下咽部损伤时的护理工作对伤后的转归具有极大的重要性,例如,有效地保持气道的通畅和人工气道的护理,静脉通路的选择和维护,饮食的控制和胃肠减压等都是整个处理过程中不可忽视的。

Objective\ To analyze the main omplications and causes of prolonged tracheostomy in senile patients.\ \ Methods\ From 1982 to 1994 ,18 senile patients with prolonged tracheostomies for 503±487 days on average were investigated.\ \ Results\ Main complications were infections of lungs.Days on antibiotics were 29 7% of tracheostomied days.Tracheal bleeding,tracheal cuffslipping and bullous lesions of lungs were commonly seen.Bronchoesophageal fistula,rupture of cartilage rings occasionlly happened.Circumstomal...

Objective\ To analyze the main omplications and causes of prolonged tracheostomy in senile patients.\ \ Methods\ From 1982 to 1994 ,18 senile patients with prolonged tracheostomies for 503±487 days on average were investigated.\ \ Results\ Main complications were infections of lungs.Days on antibiotics were 29 7% of tracheostomied days.Tracheal bleeding,tracheal cuffslipping and bullous lesions of lungs were commonly seen.Bronchoesophageal fistula,rupture of cartilage rings occasionlly happened.Circumstomal inflammation,edema,excoriation,fibrinoid deposition and erosion were found in 7 autopsied cases.\ \ Conclusions\ Main complications of prolonged tracheostomy in senile patients were pulmonaryinfections,tracheal bleeding and changes surrounding the tracheostoma.We must pay attention to complications of prolonged tracheostomy in senile patients.

目的分析老年患者长期气管切开的并发症及其原因。方法对我院1982~1994年平均气管切开天数为503±487天的18例老年患者进行临床、病理分析。结果主要并发症为肺部感染,用抗生素天数占气管切开天数的29.7%;气管出血、气管套管滑脱、肺大泡也较常见;气管食管瘘、软骨环破裂等偶见。7例尸检见气管切口周围炎性水肿、上皮脱落、纤维素沉积及不同程度糜烂。结论老年患者长期气管切开的并发症主要是肺部感染、气管出血及切口周围改变等,应重视防治。

Objective Preoperative nasal continuous positive airway pressure(NCPAP) treatment was used as a substitute for protective tracheostomy before UPPP surgery in 42 patients with severe obstructive sleep apnea syndrome(OSAS)from 1994 to 1996. Methods Fifty two patients operated on three years before this period served as control group. All cases were diagnosed as severe OSAS by polysomnography (PSG). Results There were no statistical difference in main parameters between two groups. Seven cases in...

Objective Preoperative nasal continuous positive airway pressure(NCPAP) treatment was used as a substitute for protective tracheostomy before UPPP surgery in 42 patients with severe obstructive sleep apnea syndrome(OSAS)from 1994 to 1996. Methods Fifty two patients operated on three years before this period served as control group. All cases were diagnosed as severe OSAS by polysomnography (PSG). Results There were no statistical difference in main parameters between two groups. Seven cases in the control group underwent protective tracheostomy whose apnea and hypopnea index(AHI) was 28.4~83.5 and lowest saturation oxygen (SaO 2)were 7%~32%. One patient underwent emergency tracheostomy due to life threatening situation during uvulopalatopharyngoplasty (UPPP). There were 9 similarly severe cases who did not undergo protective tracheostomy in NCPAP treatment group. All patients underwent preoperative 5~20 day NCPAP treatment in treatment group. The average positive pressure was 1.16 kPa(11.85 cmH 2O). There were significant difference in main parameters between the two groups. The AHI, SaO 2 and sleep structure were evidently improved. UPPP was safely performed without protective tracheostomy and any complications in all patients with NCPAP treatment. Conclusion This result implys that NCPAP treatment could be used as a substitute for protective tracheostomy before UPPP in severe OSAS.

目的试用经鼻正压通气(nasalcontinuouspositiveairwaypresure,NCPAP)替代对重度阻塞性睡眠呼吸暂停综合征(obstructivesleepapneasyndrome,OSAS)患者行悬雍垂腭咽成形术(uvulopalatopharyngoplasty,UPPP)前的预防性气管切开术,避免术中、术后出现致死性并发症。方法患者均为行UPPP治疗的重度OSAS,以1991年11月~1994年4月患者52例为对照组;1994年5月~1996年的患者42例为治疗组。对照组及治疗组均经全夜7小时多导睡眠仪监测(polysomnography,PSG)确诊,两组治疗前主要参数对比差异无显著性。对照组中7例,于UPPP术前行预防性气管切开;另一例术中呼吸骤停,紧急气管切开。而治疗组中类似严重患者9例,均于UPPP术前接受NCPAP治疗。NCPAP治疗仪的正压水平平均为1.16kPa(11.85cmH2O),治疗时间平均9天,将治疗组NCPAP治疗前后PSG各项重要指标进行观察比较。结果经NCPAP治疗后,治疗组最长呼吸暂停时间由84.46±77.42秒降至15.42±24.36秒,?

 
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