小児気管切開症例の臨床的検討

概要

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Tracheostomy was performed on 11 patients (9 males, 2 females) during an 11-year period (1984-1994) at the Osaka Prefectural General Hospital. The causative diseases were central nervous system disorders (5 cases), laryngo-tracheal stenosis (2 cases), achondroplasia (2 cases), Werdnig-Hoffmann disease (1 case)and Tay-Sacs disease (1 case). The indication of the tracheostomies was respiratory management in most of the cases. Complications after surgery included 5 cases of tracheal or stomal granulation, 1 case of tracheo-innomunate artery fistula, 1 case of failure of decannulation and 1 case of hypooxidecephalus due to obstruction of the T-tube. Regarding course and outcome, 5 of the 11 patients who underwent these tracheostomies left the hospital with a stoma and were under respiratory management in their homes and they achieved the improvement of the quality of life. Five patients died due to an aggravation of their primary disease.
特定非営利活動法人日本気管食道科学会の論文