支气管镜引导下行经皮扩张气管切开术的临床效果评价  

Clinical Values of Percutaneous Dilational Tracheostomy by Bronchoscopy

作　　者：李文雄[1] 陈惠德[1] 王小文[1] 赵松[1] 郑悦[1] 宋扬[1] 

机构地区：[1]首都医科大学附属北京朝阳医院SICU,北京市100020

出　　处：《中国全科医学》2009年第8期669-670,共2页Chinese General Practice

摘　　要：目的对比经支气管镜引导下行经皮扩张气管切开术(PDT)和未经支气管镜引导行PDT的术中并发症发生情况,评价支气管镜引导对PDT的临床应用价值。方法采取随机随机化同期对照试验方法将我院外科重症监护室接收的需行PDT的患者分为未经支气管镜引导组(A组)和经支气管镜引导组(B组),比较两组患者术中的PDT操作难度及出血程度。结果两组均未发生与操作直接相关的死亡。A组操作困难程度:Ⅰ级28例,Ⅱ级10例,Ⅲ级4例;B组操作困难程度:Ⅰ级40例,Ⅱ级4例,Ⅲ级1例,两组间差别有统计学意义(u=2.05,P<0.05)。A组术中出血程度:A级34例,B级5例,C级3例;B组术中出血程度:A级42例,B级2例,C级1例,两组间差别无统计学意义(u=1.74,P>0.05)。结论经支气管镜引导下行PDT能显著降低手术操作难度,但对出血程度的改善不明显。Objective To compare the intraoperative complications of percutaneous dilational tracheostomy(PDT)guided by bronchoscopy or not,and to evaluate the clinical values of PDT by bronchoscopy in surgical critical patients.Methods A prospective randomized study was undertaken to compare the procedural difficulty and intraoperative bleeding level of PDT between group A(n=42,PDT without bronchoscopy guide)and group B(n=45,PDT with bronchoscopy guide).Results No death related to procedure occurred in both groups.The...

关 键 词：气管切开术 支气管镜检查 手术中并发症 

分 类 号：R459.7[医药卫生—急诊医学]