中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
9期
1104-1105
,共2页
宋明东%苏月南%曾文%何道辉%茹光旋
宋明東%囌月南%曾文%何道輝%茹光鏇
송명동%소월남%증문%하도휘%여광선
导丝扩张钳气管切开术%困难气道%急诊
導絲擴張鉗氣管切開術%睏難氣道%急診
도사확장겸기관절개술%곤난기도%급진
Peroutaneous dilafional tracheostomy%Difficult airway%Emergency
目的 研究导丝扩张钳气管切开术(PDT)应用于急诊困难气道患者的可行性.方法 呼吸循环不稳定合并困难气道的急诊患者37例,采用Portex法行导丝扩张钳气管切开术建立确定性人工气道.结果 手术成功者35例(94.6%),失败者2例(5.4%).操作时间3～14 min,平均(10.3±3.4)min.成功者术中出血量4～15ml,均可自然止血.PDT患者术前心率和血氧指数(SpO2/FiO2)分别为(117.4±13.7)次/min、(246.2±65.8),术中分别为(120.6±9.9)次/min、(258.3±71.2),术后分别为(97.5±11.2)次/min、(377.4±74.9).SpO2/FiO2明显改善(t=8.679,P＜0.01),心率较术前减慢(t=4.649,P＜0.01).结论 导丝扩张钳气管切开术是急诊困难气道患者建立确定性人工气道的有效方法.
目的 研究導絲擴張鉗氣管切開術(PDT)應用于急診睏難氣道患者的可行性.方法 呼吸循環不穩定閤併睏難氣道的急診患者37例,採用Portex法行導絲擴張鉗氣管切開術建立確定性人工氣道.結果 手術成功者35例(94.6%),失敗者2例(5.4%).操作時間3～14 min,平均(10.3±3.4)min.成功者術中齣血量4～15ml,均可自然止血.PDT患者術前心率和血氧指數(SpO2/FiO2)分彆為(117.4±13.7)次/min、(246.2±65.8),術中分彆為(120.6±9.9)次/min、(258.3±71.2),術後分彆為(97.5±11.2)次/min、(377.4±74.9).SpO2/FiO2明顯改善(t=8.679,P＜0.01),心率較術前減慢(t=4.649,P＜0.01).結論 導絲擴張鉗氣管切開術是急診睏難氣道患者建立確定性人工氣道的有效方法.
목적 연구도사확장겸기관절개술(PDT)응용우급진곤난기도환자적가행성.방법 호흡순배불은정합병곤난기도적급진환자37례,채용Portex법행도사확장겸기관절개술건립학정성인공기도.결과 수술성공자35례(94.6%),실패자2례(5.4%).조작시간3～14 min,평균(10.3±3.4)min.성공자술중출혈량4～15ml,균가자연지혈.PDT환자술전심솔화혈양지수(SpO2/FiO2)분별위(117.4±13.7)차/min、(246.2±65.8),술중분별위(120.6±9.9)차/min、(258.3±71.2),술후분별위(97.5±11.2)차/min、(377.4±74.9).SpO2/FiO2명현개선(t=8.679,P＜0.01),심솔교술전감만(t=4.649,P＜0.01).결론 도사확장겸기관절개술시급진곤난기도환자건립학정성인공기도적유효방법.
Objective To observe the application of percutaneous dilafional tracheostomy (PDT)in emergency patients with difficult airway. Methods The 37 cases in emergency with breathing-cycling unstable combination with difficult airway were treated with certainty artificial airway through PDT by Portex method. Results The operation success were 35 cases(94.6%), failure were 2 cases(5.4%) and the SpO2/FiO2 was significantly improved after PDT(t = 8. 679, P ＜ 0.01). Conclusion PDT is an effective method of creating certainty artificial airway in emergency with difficult airway.
