| 经皮微创气管切开术在呼吸内科及ICU中的应用研究 |
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| 引用本文： | 赵磊,孙昀,杨进,姚梦醒,胡昆,赵卉,陆友金. 经皮微创气管切开术在呼吸内科及ICU中的应用研究[J]. 安徽医科大学学报, 2015, 0(4): 526-529 |
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| 作者姓名： | 赵磊 孙昀 杨进 姚梦醒 胡昆 赵卉 陆友金 |
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| 作者单位： | 1. 安徽医科大学第二附属医院呼吸内科,合肥,230601;2. 安徽医科大学第二附属医院ICU,合肥,230601 |
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| 基金项目： | 安徽省“十二五”省临床医学培育专科建设计划项目;安徽医科大学博士启动资金项目(编号:2013BKJ026) |
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| 摘 要： | 目的：对呼吸内科及重症监护病房( ICU)中需进行气管切开的患者实施经皮微创气管切开术( PDT)并探讨其临床应用价值。方法选取180例危重症患者实施PDT,同期行传统气管切开术( TST)患者150例。结果两组手术均成功完成,PDT组手术时间、术中出血量、切口长度均优于TST组,差异有统计学意义(P<0．05)；手术难易度及围手术期并发症,PDT组显著低于TST组( P<0．05)。结论 PDT在呼吸内科及ICU中应用安全、高效、简单易行,有很高的临床推广价值。
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| 关 键 词： | 经皮微创气管切开术 呼吸内科 ICU |
Clinical study of percutaneous dilational tracheostomy in respiratoy department and ICU |
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| Affiliation: | Zhao Lei;Sun Yun;Yang Jin;Dept of Respiratoy,The Second Affiliated Hospital of Anhui Medical University;Intensive Care Unit,The Second Affiliated Hospital of Anhui Medical University; |
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| Abstract: | Objective To investigate the clinical value of percutaneous dilational tracheostomy ( PDT) in patients of respiratory department and ICU. Methods One hundred and eighty patients who were necessary for treacheosto-my were performed PDT. At the same time, one hundred and fifty patients who received traditional surgical trache-ostomy ( TST) at ophthalmology and otorhinolaryngology department were studied as control group. Results Two different kinds of surgery were performed successfully in both groups. PDT groups were superior to TST groups in the time of operation, the volume of blood and length of incision, respectively. The difference was statistically
significant ( P<0. 05 ) . The difficulty and post-operation complications of PDT group were substantially lower than that in TST group. There was statistical significance between the two groups(P<0. 05). Conclusion PDT is a safe, efficient and less invasive surgical operation which has a potential value in the clinical work. |
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| Keywords: | percutaneous dilational tracheostomy respiratory department intensive care unit |
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