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Evaluated respiratory problem in goiter compressing trachea
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Abstract
BACKGROUND: Some studies indicate that 33% of goiter patients have symptoms of compression. A pinched thyroid disease is one of the surgical designations of goiter. Compression symptoms are not only clinically relevant for the patient, but are also a problem for general anesthesia and resuscitation.
METHODS: Retrospective cross-sectional description. We recruited 52 patients diagnosed with tracheotropic goiter to undergo medical examination and surgery at the Department of Thoracic Surgery at Cho Ray Hospital from January 2015 to the end of March 2019. Exclusion criteria: Patients with cervical tumor combined to cause compression of the trachea, Thyroid cancer with image of invasive trachea on CT scan.
RESULTS: The average age of the study group was 62.15 ± 12.71, the male / female ratio was approximately 1: 4. At the time of admission, 3 cases were being treated for pneumonia, 4 were undergoing intubations and 1 had a tracheotomy in a total of 52 cases, so 15.38% of patients had respiratory problems in time of admission. The smallest diameter of trachea is 3 mm. The mean minimum trachea diameter is calculated to be 8.15 ± 3.40. Narrow tracheal grouping, the majority of patients were from 5 to 10 mm size, accounting for 73.1%. The proportion of patients with difficult intubation was 61.5%. The good result of surgery is 86.54%, the rate of complications after surgery is 13.46% including complications of respiratory failure, hand numbness, vocal paralysis and mediastinal fluid, besides there are no deaths. The rate of respiratory failure after surgery is 3.8%. The rate of re-intubation was 1.9%. Only 2 cases of trachealmalasia were detected in surgery and both cases were treated by tracheostomy.
CONCLUSION: Surgery to treat tracheal goiter for good early results. Surgery in the early stage helps the patients recovered respiration quickly after surgery. During surgery, attention should be paid to the following issues: anesthenesis, trachealmalasia and vocal cord paralysis.
Article Details
Keywords
goitre compressing trachea, trachealmalasia, tracheal stenosis
References
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