Management of pediatric tracheal stenosis and tracheomalacia.

Management of pediatric tracheal stenosis and tracheomalacia.
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DOI:
10.1053/j.semtcvs.2004.08.006
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发表时间:
2004-01-01
影响因子:
2.5
通讯作者:
Jaquiss, Robert D B
Jaquiss, Robert D B
中科院分区:
医学3区
文献类型:
--
作者:
Jaquiss, Robert D B

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气管狭窄和软化在儿童中是比较少见的情况,也是很难处理的问题。气管狭窄,当长度有限时,适合切除和重新吻合。然而,长段气管狭窄最常发生在婴儿中,并且通常与相当严重的症状相关。多种手术选择可用于治疗,部分取决于外科医生的偏好和经验。在某些方面,气管软化症更令人沮丧的治疗,因为它通常持续后的根本原因,通常是外部压缩,被消除。本章将详细讨论这些问题。
Tracheal stenosis and malacia are somewhat rare conditions encountered in children and are difficult management problems. Tracheal stenosis, when limited in length, is amenable to resection and re-anastomosis. However, long segment tracheal stenosis occurs most often in infants and often is associated with quite severe symptoms. A variety of surgical options are available for treatment depending, in part, on surgeon's preference and experience. Tracheomalacia is, in some ways, more frustrating to treat because it usually persists after the underlying cause, usually external compression, is eliminated. This chapter will discuss these issues in detail.