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气管切开术的目的是在机械性或其它类型的上呼吸道阻塞存在时,建立适当的通气道。气管切开术起源于荷马时代。史料记载亚历山大大帝曾用他的剑为一受伤士兵作了气管开口术。18世纪末,这项手术被用于减轻白喉患者的呼吸阻塞。如今已作为处理喉和咽部肿瘤术后、呼吸麻痹和其它情况所致呼吸困难的常规外科操作。本文报告Apostle Paul's创伤医院口腔颌面外科1970年8月1日至1980年7月31日,十年中收治的1789例创伤病例中,有44例作了气管切开术,占2.4%。结果: 在44例气管切开术中,男性33例,女性11例。10～19岁者16例(36%),10～39岁者31例(70%)。这些数字与全部颜面创伤病
The purpose of tracheotomy is to establish a suitable airway in the presence of mechanical or other types of upper airway obstruction. Tracheotomy originated in the Homeric era. According to historical records, Alexander the Great had tracheal opening surgery using his sword as a wounded soldier. In the late 18th century, this procedure was used to relieve the obstruction of the respiratory tract of diphtheria patients. Nowadays, it has been used as a routine surgical treatment of dyspnea caused by laryngeal and pharyngeal tumor postoperatively, respiratory paralysis and other conditions. This article reports Apostle Paul's Wound Hospital Oral and Maxillofacial Surgery. From August 1, 1970 to July 31, 1980, 44 of the 1789 traumatic cases admitted to the Detroit Hospital for a decade were tracheotomy, accounting for 2.4%. Results: Of the 44 tracheotomy patients, 33 were male and 11 were female. 16 (36%) were 10 to 19 years old and 31 (70%) were 10 to 39 years old. These numbers are related to total facial injuries