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| 经皮旋转扩张气管切开术在危重病中的应用 | |
| 引用本文： | 张国培,邹其银,向斌,李海峰,崔华永,倪菊芳. 经皮旋转扩张气管切开术在危重病中的应用[J]. 临床医学, 2009, 29(1): 3-5 |
| 作者姓名： | 张国培 邹其银 向斌 李海峰 崔华永 倪菊芳 |
| 作者单位： | 东南大学医学院附属盐城医院,江苏盐城,224001 |
| 摘 要： | 目的探讨经皮旋转扩张气管切开术在危重病中的应用价值。方法回顾性分析重症监护病房（ICU）中气管切开的危重病患者共88例，其中经皮扩张气管切开术组（PDT组）52例，常规外科气管切开术组（ST组）36例。比较两组手术操作时间、术中出血量、并发症发生率。结果PDT组手术操作时间为4—20min，平均（8．6±2.8）min，ST组为13—28min，平均（18．2±3．6）min，PDT组手术操作时间较ST组显著缩短（P〈0．01）；PDT组术中出血量〈5ml的48例，〉5ml的4例，ST组〈5ml的4例，〉5ml的32例，PDT组术中出血量较ST组显著减少（P〈0．01）；PDT组并发症发生率为3．8％，ST组为11．1％，PDT组并发症发生率较ST组明显减少（P〈0．05）。结论经皮旋转扩张气管切开术是一种快速、术中出血量少、并发症少的微创气管切开术。除未成年人外，PDT可以广泛应用于ICU中的危重病患者。 |
| 关 键 词： | 经皮旋转扩张气管切开术 外科气管切开术 危重病 |
Application of a controlled rotating dilation percutaneous tracheostomy technique for patients with critical illness |
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| ZHANG Guopei,ZOU Qiyin,XIANG Bin,LI Haifeng,CUI Huayong,NI Jufang. Application of a controlled rotating dilation percutaneous tracheostomy technique for patients with critical illness[J]. Clinical Medicine, 2009, 29(1): 3-5 | |
| Authors: | ZHANG Guopei ZOU Qiyin XIANG Bin LI Haifeng CUI Huayong NI Jufang |
| Affiliation: | ZHANG Guopei,ZOU Qiyin,XIANG Bin,LI Haifeng,CUI Huayong,NI Jufang.Yancheng Hospital Affiliated to the Medical College of Southeast University,Yancheng 224001,China |
| Abstract: | Objective To explore the application value of a controlled rotating dilation percutaneous tracheostomy technique in intensive care unit(ICU)for patients with critical illness.Methods The clinical data of 88 patients undergoing tracheotomy in ICU were analyzed retrospectively.Percutaneous dilational tracheostomy(PDT) was used in 52 patients,and in another 36 patients conventional surgical tracheostomy(ST) was used.The operation time,the intraoperative blood loss and the complications between the two groups w... |
| Keywords: | Percutaneous rotating dilation tracheostomy Surgical tracheostomy Critical illness |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |