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| 气管穿刺导入气管套管术在急救患者中的应用 | |
| 引用本文： | 何忠杰,林洪远,陈东,柯友洋,张振平,程尉新,郭旭升,张宪,徐桂琴.气管穿刺导入气管套管术在急救患者中的应用[J].中国危重病急救医学,2002,14(3):157-159. |
| 作者姓名： | 何忠杰 林洪远 陈东 柯友洋 张振平 程尉新 郭旭升 张宪 徐桂琴 |
| 作者单位： | 1. 解放军第三○四医院急救部,北京,100037 2. 辽宁省阜新市公安医院急救中心 3. 解放军第一七一医院急救中心ICU 4. 河南省开封市人民医院急救中心 |
| 摘 要： | 目的 :观察改进的气管穿刺导入气管套管术在危重患者紧急抢救中的应用疗效。方法 :对 132例急诊科及 SICU患者用 PORTEX L IMITED全套器械行气管穿刺术 ,从外套管内送入导引钢丝 ,沿钢丝导入专用气管插管到气管内 ,再拔出气管插管内栓及导丝。结果 :气管套管术操作需时 2～ 2 0分钟者共 12 3例 ,>2 0分钟者 9例 ,较常规气管切开所需时间缩短 ,且可单人操作 ,一般可在 3～ 10分钟完成 ,顺利者在 4～ 7分钟完成。术中损伤小 ,出血量少 ,伤口愈合时间短 (1～ 2日 )。结论 :气管穿刺导入气管套管术操作方法简便 ,组织损伤轻微 ,出血量少 ,可以单人施术 ,适于急救中应用。 |
| 关 键 词： | 气管穿刺 气管套管术 急救 |
| 文章编号： | 1003-0603(2002)03-0157-03 |
| 修稿时间： | 2001年7月23日 |
Tracheostomy with the aid of tracheofistulization in emergency patients |
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| HE Zhongjie ,LIN Hongyuan ,CHEN Dong ,KE Youyang ,ZHANG Zhenping ,CHENG Weixin ,GUO Xusheng ,ZHANG Xian ,XU Guiqin.Tracheostomy with the aid of tracheofistulization in emergency patients[J].Chinese Critical Care Medicine,2002,14(3):157-159. | |
| Authors: | HE Zhongjie LIN Hongyuan CHEN Dong KE Youyang ZHANG Zhenping CHENG Weixin GUO Xusheng ZHANG Xian XU Guiqin |
| Institution: | HE Zhongjie 1,LIN Hongyuan 1,CHEN Dong 2,KE Youyang 3,ZHANG Zhenping 4,CHENG Weixin 1,GUO Xusheng 1,ZHANG Xian 1,XU Guiqin 1. 1Department of Emergency,304th Hospital of PLA,Beijing 100037 |
| Abstract: | Objective:To evaluate tracheostomy with the aid of "Portex" tracheofistulization in emergency treatment in the critically ill patients.Methods:One hundred and thirtytwo cases in emergency department,surgical intensive care unite and other departments were indicated for tracheostomy.In these patients,tracheostomy was successfully performed with the aid of "Portex" instrument for percutaneous puncture and guidance of tracheostomy tubes.Results:Generally this procedure was accomplished in 220 minutes,and in the majority of cases in 47 minutes,without complications.Conclusions:The percutaneous tracheostomy is a new,minimally invasive procedure which provides an easier and more rapid method of insertion of a tracheostomy tube than the conventional open surgical technique.It also has the advantage that it can be performed by one doctor. |
| Keywords: | tracheofistulization tracheostomy emergency |
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