CAJ | 학술논문

目的探讨经皮穿刺气管切开术(PT)在ICU临床应用疗效及安全性.方法选择我院ICU 120例重症患者,随机进行经皮穿刺气管切开术(57例)及传统气管切开术(OT)(63例),在手术时间、出血量、并发症等进行比较.结果 PT组手术时间为(11.21±4.97 )min,明显较OT组(26.31±8.42) min短,P＜0.001；出血量(16.5±5.72)ml,明显少于OT组(41.83±10.05) ml,P＜ 0.001.经皮穿刺气管切开术患者在手术时间、出血量均较传统气管切开术有显著性差异,并发症少.结论经皮穿刺气管切开术具有手术时间短,快速,出血量少,并发症少,值得推广使用,并可作为ICU医师必须掌握气道医疗技术之一.
목적 탐토경피천자기관절개술(PT)재ICU림상응용료효급안전성.방법 선택아원ICU 120례중증환자,수궤진행경피천자기관절개술(57례)급전통기관절개술(OT)(63례),재수술시간、출혈량、병발증등진행비교.결과 PT조수술시간위(11.21±4.97 )min,명현교OT조(26.31±8.42) min단,P＜0.001；출혈량(16.5±5.72)ml,명현소우OT조(41.83±10.05) ml,P＜ 0.001.경피천자기관절개술환자재수술시간、출혈량균교전통기관절개술유현저성차이,병발증소.결론 경피천자기관절개술구유수술시간단,쾌속,출혈량소,병발증소,치득추엄사용,병가작위ICU의사필수장악기도의료기술지일.
Objective To explore the safety and efficacy of percutaneous dilational tracheostomy ( PDT ) in intensive care unit.Methods 120 critically ill patients in ICU were randomly assigned to receive PDT ( 57 patients ) and traditional tracheostomy ( OT ) ( 63 patients ).The surgical duration,bleeding volume,and related complications were compared between the two groups.Results The surgical duration was obviously shorter and bleeding volum was markedly smaller in PDT group than in OT group[( 11.21 ± 4.97) minvs.(26.31 ± 8.42min) and ( 16.5 ± 5.72) mlvs.(41.83 ± 10.05) ml,P＜ 0.001 for both comparisons],revealing a significant difference.Fewer complications were found in PDT group.Conclusions Percutaneous dilational tracheostomy has shorter surgical duration, less blood loss,and fewer complications.It is worth popularizing and can be a necessary skill of airway management in ICU.