心脏手术期间及术后血浆甲状腺激素的变化

管切开置管不易，而且术后拔管常有困难，所以术后只是持续从口腔留置气管插管，造成B婴在术后11天拔管后喉头水肿无法再插入导管，被迫行紧急气管切开，增加了手术后的危险性。由于B婴的教训，A婴在有口腔气管导管留置的引导下，顺利行气管切开。术后两婴均顺利度过呼吸功能衰竭关。因此，胸腹联体婴儿若估计气道压力支持只需2～3天的，可考虑仅留置口腔气管插管［8］，若时间长应及时行气管切开。

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作者：福建医科大学附属第一医院

《心脏手术期间及术后血浆甲状腺激素的变化(第2页)》