[Complications and its prevention in 227 cases of childhood tracheotomy].
OBJECTIVE
To explore the correlation between the occurrence and the prevention of complications in childhood tracheotomy.


METHODS
A total of 227 cases of childhood tracheotomy were analyzed based on clinical data from March 1974 to July 1999.


RESULTS
Of 227 cases, 189 were decannulated successfully. Twenty-three cases discharged with tracheotomy tube. Fifteen cases died of primary disease. Fourteen of 227 cases had complications. Among them, 2 had intraoperative suffocation, 1 had trauma of esophagus, 5 complicated subcutaneous emphysema in cervical region and 1 had mediastinal emphysema. Five of 14 cases had postoperative drop out of the tube, 2 of them died of suffocation.


CONCLUSIONS
The occurrence of complications is related to age, original disease, operative method and nursing.
Zhang
S
S
Department of Otohrinolaryngology, Beijing Children's Hospital, Capital University of Medical Sciences, Beijing 100045, China.
D000293:Adolescent; D001237:Asphyxia / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D004646:Emphysema / Q000209:etiology; D004947:Esophagus / Q000293:injuries; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007431:Intraoperative Complications / Q000517:prevention & control*; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D014140:Tracheotomy / Q000009:adverse effects*