首页|围手术期气管膜部损伤:危险因素、诊断及处理

围手术期气管膜部损伤:危险因素、诊断及处理

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气管膜部损伤虽然罕见,但可能危及生命,其症状易被忽略.导致气管膜部损伤的危险因素包括患者的基础病情、气道操作和手术相关等因素.识别气管膜部损伤的征象(如皮下气肿、气胸、通气量下降等)以尽早诊断对于改善预后至关重要.治疗方法依据气管膜部损伤的严重程度而定,轻微损伤可能仅需保守治疗,而严重损伤可能需要手术修补.文章回顾了近年来气管膜部损伤相关临床证据,对围手术期气管膜部损伤的病理生理基础、危险因素、诊断和治疗方法进行综述,以期减少此类并发症的发生并改善预后.
Perioperative tracheal membrane injury:risk factors,diagnosis and management
Tracheal membrane injuries are rare but potentially life-threatening,and their symptoms are easily overlooked.Risk factors for tracheal membrane injuries include the patient's underlying medical condition,airway manipulation,and surgery-related fac-tors.Recognition of the signs of tracheal membrane injury,such as subcutaneous emphysema,pneumothorax,and decreased ventila-tion,as well as early diagnosis are essential to improve prognosis.Treatment depends on the severity of the injury;minor injuries may require only conservative treatment,whereas severe injuries may require surgical repair.This article reviews the recent clinical evi-dence on tracheal membrane injuries and provides an overview of the pathophysiological basis,risk factors,diagnosis,and treatment of perioperative tracheal membrane injuries with the aim of reducing the incidence of these complications and improving the prognosis.

Tracheal membrane injuryPerioperative periodPostoperative complicationRisk factor

布特格勒其、王东信

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北京大学第一医院麻醉科,北京 100034

气管膜部损伤 围手术期 术后并发症 危险因素

2024

国际麻醉学与复苏杂志
中华医学会,徐州医学院

国际麻醉学与复苏杂志

CSTPCD
影响因子:0.909
ISSN:1673-4378
年,卷(期):2024.45(7)
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