医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
11期
131-131
,共1页
经皮旋转气管切开术%危重患者%应用
經皮鏇轉氣管切開術%危重患者%應用
경피선전기관절개술%위중환자%응용
Percutaneous dilational tracheostomy%Critical y il patients%Application
目的探讨经皮旋转气管切开术在危重患者气道开放中的应用。方法对普洱市人民医院重症医学科收治的86例患者采用经皮旋转气管切开术，记录手术时间、成功率、术中及术后出血情况、术后并发症发生情况，分析经皮气管切开术的优缺点。结果86例患者平均耗时14.2min，全部成功，术中及术后未发生严重出血，术后出现皮下气肿1例，气管食管瘘发生1例。结论经皮旋转气管切开术具有耗时短，创口小，并发症少的特点，适合危重患者使用。
目的探討經皮鏇轉氣管切開術在危重患者氣道開放中的應用。方法對普洱市人民醫院重癥醫學科收治的86例患者採用經皮鏇轉氣管切開術，記錄手術時間、成功率、術中及術後齣血情況、術後併髮癥髮生情況，分析經皮氣管切開術的優缺點。結果86例患者平均耗時14.2min，全部成功，術中及術後未髮生嚴重齣血，術後齣現皮下氣腫1例，氣管食管瘺髮生1例。結論經皮鏇轉氣管切開術具有耗時短，創口小，併髮癥少的特點，適閤危重患者使用。
목적탐토경피선전기관절개술재위중환자기도개방중적응용。방법대보이시인민의원중증의학과수치적86례환자채용경피선전기관절개술，기록수술시간、성공솔、술중급술후출혈정황、술후병발증발생정황，분석경피기관절개술적우결점。결과86례환자평균모시14.2min，전부성공，술중급술후미발생엄중출혈，술후출현피하기종1례，기관식관루발생1례。결론경피선전기관절개술구유모시단，창구소，병발증소적특점，괄합위중환자사용。
Objective To study the application of percutaneous dilational tracheostomy in critically il patients with airway open. Methods 86 patients of ICU Pu'er City People's hospital were treated by percutaneous dilational tracheostomy, recording operation time, success rate, intraoperative and postoperative bleeding, postoperative complications, analysis of the advantages and disadvantages of percutaneous tracheostomy. Results 86 patients took an average of 14.2 minutes, all successful, intraoperative and postoperative without serious bleeding, postoperative subcutaneous emphysema in 1 cases, 1 cases of tracheoesophageal fistula. Conclusion percutaneous dilational tracheostomy with short time, smal wound, less complications, suitable for critically il patients.
