目的探究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。方法根据气道建立方法分为穿刺组和切开组,穿刺组危重患者采用气管穿刺导入气管套管术。切开组危重患者采用常规开放性气管切开术进行气管切开。结果穿刺组患者未出现切口感染及出血,出现皮下气肿1例,气管管套移位1例;开放组2例切口感染,1例切口出血,2例皮下气肿。穿刺组与开放组比较术中出血量较开放组明显降低,手术平均时间(T=5.4293,P<0.01),切口平均愈合时间(T=3.7559,P<0.01)明显缩短。结论气管穿刺导入气管套管术在危重患者紧急抢救中优于传统气管切开术,值得临床推广和运用。 Objective To explore the application of improved tracheal intubation and tracheal cannula in the emergency rescue of critically ill patients. Methods According to the method of airway establishment, the patients were divided into puncture group and incision group, and the puncture group was given tracheal tube tracheal intubation. Patients in the incision group were treated with conventional open tracheotomy for tracheotomy. Results There was no incision infection and bleeding in the puncture group. One case had subcutaneous emphysema and one case had tracheal tube shunt. In the open group, 2 cases had incision infection, 1 case had incision hemorrhage and 2 cases had subcutaneous emphysema. The bleeding volume in puncture group and open group was significantly lower than that in open group. The mean operative time (T = 5.4293, P <0.01) and mean wound healing time (T = 3.7559, P <0.01) were significantly shorter. Conclusion Tracheostomy and tracheal intubation is superior to traditional tracheotomy in the emergency rescue of critically ill patients, which is worthy of clinical promotion and application.