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目的:讨论气管切开术在危重病房中人工气道建立的应用价值。方法:对云南省普洱市人民医院ICU内60例危重病患者分别行经皮气管切开术及传统气管切开术,两组各30例。观察两组患者手术时间、切口大小、术中出血量、各种并发症的发生率。结果:经皮气管切开术手术组时间明显短于传统的气管切开术组,手术并发症也明显减少。结论:经皮气管切开术是一种微创、快速、安全、简易的气管切开技术,适合于危重病房的患者,在危重病房中的患者人工气道建立中有较大的应用价值。
Objective: To discuss the value of tracheostomy in establishing artificial airway in critically ill patients. Methods: Percutaneous tracheotomy and tracheotomy were performed on 60 critically ill patients in ICU of Pu’er People ’s Hospital of Yunnan Province, 30 cases in each group. The operation time, incision size, intraoperative blood loss, and the incidence of various complications were observed. Results: Percutaneous tracheotomy surgery group was significantly shorter than the traditional tracheotomy group, surgical complications also significantly reduced. CONCLUSION: Percutaneous tracheotomy is a minimally invasive, rapid, safe and simple tracheotomy technique suitable for critically ill patients. It is of great value in the establishment of artificial airway in critically ill patients.