摘要
目的探讨合并甲状腺肿瘤的气管切开术并发症的防治。方法通过分析合并甲状腺肿瘤的52例常规气管切开术及20例紧急气管切开术的临床资料,总结术式经验及并发症的防治对策。结果 52例合并甲状腺肿瘤的常规气管切开术在气管插管下进行,术中、术后并发症发生率为15.38%,其中皮下气肿5例、纵隔气肿1例、声嘶1例、术后3周并发大出血1例。20例因甲状腺肿瘤压迫气管而行紧急气管切开术,术中、术后并发症发生率为40%,其中皮下气肿2例、声嘶2例、心律失常1例、气管-食管瘘1例、手足抽搐1例、拔管困难1例。结论合并甲状腺肿瘤的气管切开术,手术及并发症较为复杂。熟知颈部解剖,规范操作,可更好地防治并发症的发生。
Objective To investigate the prevention and treatment of complications of tracheotomy with thyroid tumor. Methods Data of 52 patients of conventional traeheotomy and 20 cases of emergency tracheotomy with thyroid tumor were analyzed. Results Conventional tracheotomy was performed under tracheal intubation with the intra- and postoperative complication rate being 15.38% （including subcutaneous emphysema in 5 cases, mediastinal emphysema in I case, hoarseness in 1 case, postoperative bleeding in 1 case 3 weeks after the surgery）. Emergency tracheotomy was performed in 20 cases due to thyroid tumor compression with the intra- and postoperative complication rate being 40% （including subcutaneous emphysema in 2 cases, hoarseness in 2 cases, arrhythmia in 1 case, tracheo-esophageal fistula in 1 case, tetany in 1 case, extubation difficulties in 1 case）. Conclusions Surgery and its complications of tracheoto- my with thyroid tumors were more complex. Comprehensive knowledge on the neck anatomy and a standardized operation was helpful to the prevention and treatment of the complications. （Chin J Ophthalmol and Otorhinolaryngol,2012 ,12 ：226- 228）
出处
《中国眼耳鼻喉科杂志》
2012年第4期226-228,共3页
Chinese Journal of Ophthalmology and Otorhinolaryngology
关键词
甲状腺肿瘤
气管切开术
并发症
防治
Thyroid tumor
Tracheotomy
Complications
Prevention and treatment
