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기관절개술 79례에 대한 임상적 고찰

Clinical Observation on 79 Cases of tracheostomy

계명의대논문집 1993년 12권 4호 p.531 ~ 538
이태휘, 김덕준, 최석용,
소속 상세정보
이태휘 (  ) - 계명대학교
김덕준 (  ) - 계명대학교
최석용 (  ) - 계명대학교

Abstract


Tracheostomy is an ancient surgical procedure which has endured with few changes for over 2000 years. It remains today the focal operation of the upper respiratory tract and is increasingly indicated with advancing medical and surgical
technology.
79 cases of tracheostomy were analyzed at the Department of Otolaryngology, Keimyung University Hospital from Jan. 1984 through Dec. 1990.
@ES The results were as follows.
@EN Although the most common predisposing condition was upper respiratoy tract obstruction, the conditions of secretional ventilatory insufficiency and mechanically disabled respiration has increased gradually.
The ratio of male to female was 4 : 1, and the number of tracheostomy was highest in 7th decade.
Most of the tracheotomies(68 cases, 86.1%) were undertaken within 2 days after the onset of respiratory symptoms.
Decannulation was performed mostly(21 cases) over 1 month after tracheostomy and most of this late decanunulation occurred in laryngeal cancer patients.
The postoperative complications occurred in 12 cases after emergency tracheostomy and 2 cases after ordinary tracheostomy. The most common complication was laryngotracheal stenosis(7 cases).
Laryngotracheoplasty with Montgomery stent or T-tube insertion were done for laryngotracheal stenosis and 5 out of 7 cases were able to decannulated.

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