皖南医学院学报
皖南醫學院學報
환남의학원학보
ACTA ACADEMIAE MEDICINAE WANNAN
2013年
5期
402-403
,共2页
黄秀峰%谢冰昕%张宗耀%李丹
黃秀峰%謝冰昕%張宗耀%李丹
황수봉%사빙흔%장종요%리단
重症监护病房%经皮气管切开术%临床应用
重癥鑑護病房%經皮氣管切開術%臨床應用
중증감호병방%경피기관절개술%림상응용
ICU%percutaneous dilatational tracheostomy%clinical ap-plication
目的:总结在ICU行床旁经皮气管切开术的临床经验。方法:22例ICU患者行床旁经皮气管穿刺扩张切开术。结果:22例均手术成功,手术平均时间(6±4.25)min,3例手术困难再次气管插管重新穿刺完成,3例术后切口渗血,2例术中置入假道,辨别后重新穿刺完成。结论:危重症患者行床旁经皮气管切开术具有操作简便,快速,创伤小的特点,但需熟练掌握手术技巧才能成功,在ICU有较高应用价值。
目的:總結在ICU行床徬經皮氣管切開術的臨床經驗。方法:22例ICU患者行床徬經皮氣管穿刺擴張切開術。結果:22例均手術成功,手術平均時間(6±4.25)min,3例手術睏難再次氣管插管重新穿刺完成,3例術後切口滲血,2例術中置入假道,辨彆後重新穿刺完成。結論:危重癥患者行床徬經皮氣管切開術具有操作簡便,快速,創傷小的特點,但需熟練掌握手術技巧纔能成功,在ICU有較高應用價值。
목적:총결재ICU행상방경피기관절개술적림상경험。방법:22례ICU환자행상방경피기관천자확장절개술。결과:22례균수술성공,수술평균시간(6±4.25)min,3례수술곤난재차기관삽관중신천자완성,3례술후절구삼혈,2례술중치입가도,변별후중신천자완성。결론:위중증환자행상방경피기관절개술구유조작간편,쾌속,창상소적특점,단수숙련장악수술기교재능성공,재ICU유교고응용개치。
Objective:To summarize the clinical experience of applying bedside percutaneous dilatational tracheostomy(PDT)to patients in ICU. Methods:Emergent PDTs were performed in 22 patients in ICU of our hospital.Results:PDTs were successful in ICU for the total 22 patients, and the operation time was(6 ±4.25) min on average.Three cases re-quired second tracheal puncture cannula due to difficult dilatation ,and in-cision bleeding occurred postoperatively in 3 .Another 2 were managed with placement of false-passage and second tracheal puncture. Conclusion:Bedside PDT has higher implications in ICU for emergencies for its simple and quick performance and minimal invasion , yet skillful hands are required to facilitate successful outcomes.