经皮气管切开术在重型颅脑损伤中的应用

目的 总结经皮气管切开术在重型颅脑损伤患者中的应用经验。方法 采用导丝扩张钳法行经皮气管切开术，对46例重型颅脑损伤患者的临床资料进行回顾性分析。结果 45例成功，1例改行正规的气管切开术。手术时间平均7．8分钟。5例术中少量渗血，无严重并发症及与手术操作有关的死亡发生。结论 经皮气管切开术具有安全、简单、快速、损伤小的特点，可选择性应用于重型颅脑损伤患者。

Percutaneous tracheostomy in the severe brain injury

Objective To summarize the application of percutaneous tracheostomy in the severe brain injury. Methods A retrospective study of 46 patients who had percutaneous tracheostomy by the guide wire dilating forceps technique was undertaken. Results The procedure was successful in 45 of 46 patients. The procedure was converted to standard surgical tracheostomy in 1 patient. The time for operation was 7.8 minutes on average. 5 patients had minor exudative hemorrhage, without severe complications or death caused by procedure. Conclusion Percutaneous tracheostomy by guide wire dilating forceps technique is safe and simple, with minor injury, which can be applied to severe brain injury patients selectively.