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ICU(重症监护病房)的建立和现代急救医学的进展,为外科的发展提供了有利的条件。ICU工作的实践证明,它确实提高了麻醉水平和术后危重患者抢救成功率,降低了术后并发症的发生率和死亡率,并对患者的术后康复起到了重要的促进作用。我科ICU现有病床12张,占胸科床位的11%(12/108)。我科共行气管手术3例;支气管成形术27例。因病例较少,仅言工作体会如下:1.吻合口瘘的早期发现和处理气管、支气管袖状切除吻合口可因各种原因形成吻合口瘘,导致支气管胸膜瘘。本组27例支气管成形术中,有2例
The establishment of ICU (Intensive Care Unit) and the development of modern emergency medicine provide favorable conditions for the development of surgery. The practice of ICU work has proved that it does improve the level of anesthesia and rescue success rate of critically ill patients, reduce the incidence of postoperative complications and mortality, and played an important role in promoting postoperative recovery. There are 12 beds in our ICU, accounting for 11% (12/108) of the chest beds. Our department performed tracheal surgeries in 3 cases and bronchoplasty in 27 cases. Due to a small number of cases, only the work experience is as follows: 1. Early detection and treatment of anastomotic leakage of trachea, bronchial sleeve-like resection of anastomotic stoma can be due to various reasons, resulting in bronchial pleural fistula. In this group of 27 cases of bronchoplasty, there are 2 cases