1.Application of endotracheal intubation in the rescue of children with severe trachea and bronchial foreign body.
Zhenfeng GAO ; Xiaolan CAI ; Xuanyan ZHOU
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(11):988-990
OBJECTIVE:
To discuss the application of endotracheal intubation in the rescue of children with severe trachea and bronchial foreign body. By observing the patient's clinical pathological characteristics, the diagnosis and treatment experience were summarized.
METHOD:
A retrospective analysis of 10 children with severe tracheal and bronchial foreign bodies were performed. They were given emergency intubation and cardiopulmonary resuscitation to relieve respiratory and circulatory failure after reaching hospital. After the restoration of spontaneous respiration, oxygen saturation increased by more than 90 percent and vital signs stable, the foreigh body was removed with bronchoscopy. The role of endotracheal intubation before and after the treatment of tracheal and bronchial foreign bodies in children was observed.
RESULT:
Ten cases of children were rescued successfully. No one died and the complications such as cerebral palsy, pneumothorax and pneumomediastinum didn't happened.
CONCLUSION
For the children with severe tracheal and bronchial foreign body, endotracheal intubation can establish effective ventilation in a shorter period of time. The earlier endotracheal intubation, the shorter time required and the higher success rate. Endotracheal intubation can increase the survival rate of children with cardiopulmonary resuscitation, and can reduce disability.
Bronchi
;
physiopathology
;
Bronchoscopy
;
Child
;
Foreign Bodies
;
therapy
;
Humans
;
Intubation, Intratracheal
;
Retrospective Studies
;
Trachea
;
physiopathology
3.Survey of quality of life in the patients with revision endoscopic sinus surgery
Xuanyan ZHOU ; Qian TAO ; Feng ZHANG ; Yuzhi WANG ; Zhenfeng GAO ; Lingyan LU
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2010;(2):62-65
Objective:To explore the effect of revision endoscopic sinus surgery (RESS) on quality of life in the patients with chronic rhinosinusitis with nasal polypsis (CRSwNP).Method:To survey and evaluate 60 cases of RESS patiens (treatment group) and 120 normal ones with physical examination (Control group) through the medical outcomes survey short form questions (MOS SF-36) and the Sino-Nasal Outcome Test-20 (SNOT-20), and comparison and analysis of the two groups results which we got were carried out.Result:With SF-36 scales for evaluation of quality of life, the results show that: the scores of CRSwNP patients (treatment group) without surgical treatments with RESS were significantly lower than that of the control group(P<0.05); while use of SNOT-20 scales in evaluation of the properative treatment group patients, the results were significantly higher than that of the control group(P<0.05). While the CRSwNP patients with surgical treatments with RESS for 6 monthes, not only with SF-36 scales but also with SNOT-20 scales,there was no significant difference between the two groups(P>0.05 ).Conclusion:RESS may obviously improve the clinical symptom of CRSNP patients. The SF-36 and SNOT-20 assessment scales could reflect the patient's QoL change.
4.Survey of quality of life in the patients with revision endoscopic sinus surgery.
Xuanyan ZHOU ; Qian TAO ; Feng ZHANG ; Yuzhi WANG ; Zhenfeng GAO ; Lingyan LU
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2010;24(2):62-65
OBJECTIVE:
To explore the effect of revision endoscopic sinus surgery (RESS) on quality of life in the patients with chronic rhinosinusitis with nasal polyposis (CRSwNP).
METHOD:
To survey and evaluate 60 cases of RESS patients (treatment group) and 120 normal ones with physical examination (Control group) through the medical outcomes survey short form questions (MOS SF-36) and the Sino-Nasal Outcome Test-20 (SNOT-20), and comparison and analysis of the two groups results which we got were carried out.
RESULT:
With SF-36 scales for evaluation of quality of life, the results show that: the scores of CRSwNP patients (treatment group) without surgical treatments with RESS were significantly lower than that of the control group(P < 0.05); while use of SNOT-20 scales in evaluation of the preoperative treatment group patients, the results were significantly higher than that of the control group (P < 0.05). While the CRSwNP patients with surgical treatments with RESS for 6 months, not only with SF-36 scales but also with SNOT-20 scales, there was no significant difference between the two groups (P > 0.05).
CONCLUSION
RESS may obviously improve the clinical symptom of CRSNP patients. The SF-36 and SNOT-20 assessment scales could reflect the patient's QoL change.
Adolescent
;
Adult
;
Case-Control Studies
;
Endoscopy
;
Female
;
Humans
;
Male
;
Middle Aged
;
Nasal Polyps
;
surgery
;
Otorhinolaryngologic Surgical Procedures
;
methods
;
Paranasal Sinuses
;
surgery
;
Quality of Life
;
Reoperation
;
Sinusitis
;
surgery
;
Young Adult