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A Clinical Study of Trachoestomy and It’s Complication in Infant and Children

Journal of the Korean Pediatric Society 1974;17(4):278-283.
Published online April 30, 1974.
A Clinical Study of Trachoestomy and It’s Complication in Infant and Children
Soon Hi Lee, Young Soon Lee, Sung Kyu Lee, Dong Shick Chin, Duk Jin Yun
Department of Pediatrics, Yonsei University College of Medicine
소아년령에서의 기관절개술과 그 합병증에 관한 임상적 관찰
이순희, 이영순, 이승규, 진동식, 윤덕진
연세대학교 의과대학 소아과학교실
Abstract
A total of 33 children with tracheostomy were observed after admission in Severance Hospital during the past 10 years and 3 months from January 1958 to March 1973. 1. Sex incidence was 20iiiale to 13female, and complications occured in 17 cases. 2. The age and complication rate relationship showed that about 70% of the patients were under 5 years old. The complication rate was 83% under ' 1 year of age and between the age of 1 and 5 years, the complication rate was 59%. 3. The most common indication, for tracheostomy was laryngotracheobronchitis, followed by acute diphtheric laryngitis and epiglottitis. 4. The most frequent complication, delayed decannulation occured in 59% of the cases followed. by tracheal stenosis and pneumothorax in that order. 5. The complication rate was directely proportioned to the duration o£ time prior to removal of the cannule. No complication occured when the cannule was removed within 3 days, whereas 15 cases, sustained complications after 7 days. 6. Among 17 cases of complications, death occured in 7 cases including 5 cases due to serious primary disease rather than the tracheostomy itself.


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