微创经皮气管切开术在困难气管切开患者中的疗效观察和使用技巧

目的 观察微创经皮气管切开术(PDT)在困难气管切开患者中的临床疗效.方法 我院2007年以来45例困难气管切开患者采用经皮扩张气管切开术,同期41例危重患者采用常规气管切开术.对比分析微创经皮气管切开术与常规气管切开术,总结困难气管切开患者经皮气管切开术的优点及应用技巧.结果 微创经皮气管切开术在困难气管切开患者中常规气管切开术明显缩短手术时间,减少术中及术后出血量,差异有统计学意义 (P＜0.01).结论 经皮扩张气管切开术具有简单、快速、损伤小的优点,缩短从决定气管切开到实施气管切开的时间,对于困难气管切开的临床应用有较大优势.

Clinical application of percutaneous tracheotomy to difficult tracheotomy patients

Objective To observe curative effect of percutaneous tracheotomy in difficult tracheotomy patients. Methods 45 difficult tracheotomy patients with percutaneous tracheotomy by Porex equipment compared with 41 conventional tracheotomy. To analyze and sum up the experience of percutaneous tracheotomy. Results The operation was successful in 45 patients. Compared with conventional tracheotomy, the operation time was shorter, and the amount of hemorrhage was less, severe complications were not found in percutaneous tracheotomy patients. Conclusion Percutaneous tracheotomy is more effective, safe and simple with minor injury. With the appropriate monitoring and facilities,percutaneous tracheotomy can be performed in difficult tracheotomy patients.