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目的总结经皮旋转扩张气管切开术在ICU中应用的经验和效果。方法对我院ICU自2010年3月至2011年7月采用BRANDEN旋切型经皮气管切开套装行气管切开的24例患者进行回顾性分析。结果 24例患者均手术成功,手术时间6～14 min,仅一例术后少许渗血,无严重并发症。结论 ICU中行经皮旋转扩张气管切开术具有快速、创伤性小、手术操作精确易掌握、成功率高、并发症少等优势,值得推广。
Objective To summarize the experience and effect of percutaneous rotational dilatation and tracheostomy in ICU. Methods A retrospective analysis was performed on 24 patients who underwent tracheotomy with the BRANDEN rotary-type percutaneous tracheostomy in our hospital from March 2010 to July 2011. Results All the 24 patients were operated successfully. The operation time was 6 to 14 minutes. Only one patient had a little bleeding and no serious complications. Conclusions Percutaneous rotation and expansion of tracheostomy in ICU is quick and traumatic, and the operation is accurate and easy to grasp, with high success rate and less complications. It is worth popularizing.