经皮穿刺牛角扩张气管造口术在ICU中的应用

导丝牛角型扩张法（GWCH）是经皮扩张气管切开技术（PDT）的一种改良方法。目前研究发现，与导丝扩张钳法（GWDF）和导丝螺旋扩张法（GWDS）相比，此种方法在手术操作技巧和应对并发症等方面更有优势。在重症监护室（ICU），研究推广经皮穿刺牛角扩张气管造口术可为危重患者提供更安全的气道开放微创技术。

Clinical application of percutaneous tracheostomy horns expansion in intensive clinical unit

Guide wire cattle horn (GWCH) is a modified approach for percutaneous dilational tracheotomy (PDT). Recent researches showed that this approach was superior to guide wire dilating forceps (GWDF) and guide wire dilating spire (GWDS) in surgery operation skills, dealing with complications and other aspects. In intensive care unit, percutaneous tracheostomy horns expansion technique is a safer minimal invasive technology for critically ill patients who need airway opening, and is worthy of wide application.