CAJ | 학술논문

目的探讨经皮扩张气管切开术(PDT)在危重症患者治疗中的应用价值.方法连续性选择56例入住重症监护病房(ICU)需机械通气的重症患者,根据气管切开方式的不同分为PDT组25例,0T组(开放性气管切开术)31例,观察两组手术切口长度、手术时间、术中出血、术中缺氧时间及手术相关并发症.结果 PDT组手术切口长度(15.0±1.6)mm、手术时间(9.9±3.4)min、出血量(5.2±2.2)ml、术中缺氧时间(10.2±2.1)s,均小于OT组[分别为(41.2±3.9)mm、(27.2±5.1)min、(18.2±3.5)ml、(31.1±6.2)s],差异均有统计学意义(均P＜0.01);切口出血、皮下气肿等并发症显著降低(均P＜0.05).结论经皮扩张气管切开术简单、快捷,并发症少,在危重症患者中值得推广应用.
목적 탐토경피확장기관절개술(PDT)재위중증환자치료중적응용개치.방법 련속성선택56례입주중증감호병방(ICU)수궤계통기적중증환자,근거기관절개방식적불동분위PDT조25례,0T조(개방성기관절개술)31례,관찰량조수술절구장도、수술시간、술중출혈、술중결양시간급수술상관병발증.결과 PDT조수술절구장도(15.0±1.6)mm、수술시간(9.9±3.4)min、출혈량(5.2±2.2)ml、술중결양시간(10.2±2.1)s,균소우OT조[분별위(41.2±3.9)mm、(27.2±5.1)min、(18.2±3.5)ml、(31.1±6.2)s],차이균유통계학의의(균P＜0.01);절구출혈、피하기종등병발증현저강저(균P＜0.05).결론 경피확장기관절개술간단、쾌첩,병발증소,재위중증환자중치득추엄응용.
Objective To study the clinical value of percutaneous dilational tracheostomy(PDT) in the critical patients. Methods 56 critical patients who needed mechanical ventilation hospitalized in ICU were enrolled and divided into two groups: PDT group ,25 cases and 0T groups ,31 cases. The length of incision wound, duration of operation, amount of haemorrhage, complications were observed. Results The operation time was significantly shortened [(9.9±3.4)minutes vs (27.2 ±5.1)minutes],blood loss was significantly decreased[(5.2±2.2)ml vs (18.2±3. 5)ml] ,size of operation incision was significantly shorter[(15.0 ± 1. 6)mm vs (41.2 ±3.9)mm],lacking oxygen time was significantly shorter [(10.2±2.1) seconds vs (31.1 ±6.2) seconds] in PDT group compared with OT group (all P＜0. 01). PDT had less subcutaneous emphysema and incision bleeding in PDT group than those in OT group (all P＜0.05). Conclusion PDT was easier in performance with less complication,and was deserved to apply in critical patients.