论文部分内容阅读
[目的]探讨经皮微创气管切开术(PDT)在重症监护室(ICU)危重患者人工气道建立中的应用价值。[方法]行PDT患者共59例,观察其手术时间、切口大小、术中出血量及各种并发症的发生率和手术死亡率等,并与传统的气管切开术进行比较。[结果]PDT组的手术时间和手术切口长度均明显短于传统的气管切开术组(P﹤0.01),出血量明显少于传统组(P﹤0.01),而发生气胸、心律失常、误吸、手术切口感染、气道狭窄、吞咽功能障碍等并发症,明显少于传统组(P﹤0.05),而两组的手术死亡均为0。[结论]经皮微创气管切开术是一种微创的、快捷的急救技术,适合于ICU的危重患者,在ICU中有较大的应用价值。
[Objective] To investigate the value of percutaneous minimally invasive tracheostomy (PDT) in establishing artificial airway in critically ill patients in intensive care unit (ICU). [Methods] A total of 59 patients with PDT were enrolled in this study. The operation time, incision size, intraoperative blood loss, various complication rates and operative mortality were observed and compared with conventional tracheotomy. [Results] The operation time and incision length of PDT group were significantly shorter than those of the conventional tracheotomy group (P <0.01), and the bleeding volume was significantly less than that of the conventional group (P <0.01). However, pneumothorax and arrhythmia occurred. Suction, surgical incision infection, airway stenosis, swallowing dysfunction and other complications were significantly less than the traditional group (P <0.05), while the two groups of surgical death were 0. [Conclusion] Percutaneous minimally invasive tracheotomy is a minimally invasive and quick first aid technique suitable for critically ill patients in ICU and has great value in ICU.