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目的 :总结经皮气管切开术 (percutaneoustracheostomy ,PT)的临床疗效。方法 :应用PT技术治疗1 9例 ,并与常规气管切开术 30例作对照研究。结果 :PT从开始穿刺至置管成功 3～ 1 7min ,平均 5min ,应用机械通气未发现气管套管周围有明显的分泌物溢出。脱机后拔管 1 2例 ,切口多在 2～ 3d愈合。常规气管切开术从切皮至置管需 7～ 2 0min ,平均 1 3min ,术后应用呼吸机辅助通气 75%的患者每日气管套管周围有较多分泌物溢出 ,1 7例病情好转后拔除气管套管 ,多数患者经过 7～ 1 4d切口愈合。结论 :PT简便快捷 ,患者痛苦小 ,两者并发症的发生无明显差别。但PT不能完全代替正规的气管切开术。
Objective: To summarize the clinical efficacy of percutaneoustracheostomy (PT). Methods: Nineteen cases were treated with PT technique and compared with 30 cases of conventional tracheotomy. Results: From the beginning of puncture to catheterization, the successful PT was 3 to 17 minutes with an average of 5 minutes. There was no obvious secretion overflow around the tracheal tube by mechanical ventilation. Extubation after extubation 12 cases, incision more in 2 ~ 3d heal. Conventional tracheostomy from the cut to the catheter required 7 ~ 2 0min, an average of 13min, postoperative ventilator-assisted ventilation 75% of patients had more secretions around the tracheal tube overflow, 17 cases of improved condition After removal of the tracheal tube, the majority of patients after 7 ~ 14d incision healed. Conclusion: PT is simple and quick, the patient is little painful, and there is no obvious difference between the two complications. However, PT can not completely replace the regular tracheotomy.