先天性心疾患術後長期挿管例の検討

概要

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We reviewed the cases which needed prolonged ventilatory support over a month after cardiovascular surgery for congenital heart diseases. We have experienced 12 such cases among 458 surgical cases between November, 1981 and December, 1988 at our institution. The cases were classified into 3 groups as follows. Group I (n : 6) was unable to be extubated due to heart failure. Group II (n : 2) was due to heart failure combined with other anomaly. Group III (n : 4) was due to tracheo-bronchial abnormality. 4 cases in Group I were able to be extubated after recovery from heart failure. All cases in Group II were extubated after repair of the combined anomalies. But all cases in Group III were unable to be extubated due to complicated tracheobronchomalacia and 2 of them have been placed under very long-term ventilatory support with CPAP.
日本小児外科学会の論文
1991-12-20