新生儿无插管气管切开术疗效分析

目的：探讨新生儿无插管气管切开术的方法及可行性。方法：回顾性分析1998年3月－2002年3月我院住院新生儿5例，因原发病无法气管插管而行气管切开术的临床资料。结果：5例患儿均成功进行了气管切开术，1例术后因严重的呼吸循环衰竭死亡，4例原发病解除后1期拔管出院。结论：用时把握手术时机，严格规范操作，动作准确轻柔，是手术成功的关键，术后加强护理是必要的。

Newborn tracheotomy without tracheal intubation

Objective:To approach the tracheotomy in newborn without tracheal intubation in emergency.Method:Five cases hospitalized between March 1998 and March 2002 were reviewed retrospectively.The mean age was 19 days from 5 hours to 24 days after born. All patients accepted the operation without tube inseration in trachea because of the primary disease.Result:The operation was performed successfully in all cases. One case died of severe respiratory and circulatory failure. Four cases were decannulated with the primary disease cured.Conclusion:Preoperative evaluation and ideal timing of tracheotomy are very important for the newborn infant. Intensive postoperation nursing are recommanded.