气管切开临床分析177例

目的探讨气管切开的意义、适应症、并发症、气管插管的选择及手术时机等的相关问题。方法回顾性分析177例我院行气管切开术的患者的临床资料。结果气管切开后，原发疾病治愈或好转124例（70．06％），因原发疾病死亡52例（29．38％），因气管切开并发症（术后2周大出血）死亡1例（0．56％）。结论气管切开术是耳鼻咽喉头颈外科重要的急诊手术和技能之一，予重危患者及时行气管切开，对解除呼吸道梗阻，防止窒息，改善通气，防止加重脑缺氧有重要的意义。但是，术前需对患者有一全面的评估，在考虑是否符合气管切开术指征的同时，需结合患者原发疾病的严重程度（GCS评分等）、发生手术并发症的风险预测、气管插管的可行性等，从而选择最有利于患者的治疗方案及把握好手术的时机。

Clinical analysis of 177 cases of tracheotomy

Objective To review the clinical application of tracheotomy. Methods The clinical data of 177 cases of tracheotomy were retrospectively analyzed. Results Among 177 patients the primary diseases were cured or improved in 124 cases （70.06%） ,52 cases died due to primary diseases and 1 died due to complication of tracheotomy （massive hemorrhage 2 weeks after the surgery ）. Conclusion A thorough preoperative evaluation of patients is necessary for an optimal tracheotomy.