气管切开术的重新认识  

Understood the Tracheostomy Agin

作　　者：付猷英[1] 王晋[1] 汤继玳 曾宪敏[1] 

机构地区：[1]成都市第三人民医院耳鼻咽喉科

出　　处：《华西医学》1996年第1期103-105,共3页West China Medical Journal

摘　　要：本院从１９７９年至１９９５年共施行气管切开术５２１例，发现用于上呼吸道阻塞的病人３６例及喉癌病人作术前准备２４例，共计６０例，占总数的１１．５％。用于严重外伤者１８１例，用于大手术后严重呼吸道并发症者１１６例，用于各种原因致肺部严重感染者１２８例及用于呼吸衰竭使用人工呼吸机者３６例，共计４６１例，占总数的８８．５％。统计结果表明：气管切开术的应用范围已经发生了根本性变化，已从单纯解除上呼吸道阻塞发展成为抢救各种危重病人上、上呼吸道阻塞的重要手段。气管切开术不再仅仅是为耳鼻喉科病人使用的一种手术，她已发展为各科危重病人抢救的重要措施。Thispaper analysed tracheostomy 521 cases from 1979 to 1995.The material showed that the tracheostomy was performed beause of upper airway obstruction 36 Cases,preoperative preparation of the throat cance 24 cases,both conditiohs was 60 case(11.5%);serious trauma 181 patients'seriouse respiratory complication after major operation 116 cases,severe lung infection 128 cases,respiratory failure 36 cases,the total was 461 cases(88.5%).The result of the statistics showed that the tracheostomy has changed greatly in position and action.It has developed an important salvage methad from only relieved upper airway obstruction.Tracheostomy no longer only used for the otolaryngology patients.It has become an irnportant salvage method for the all medical field today.

关 键 词：气管切开术 上呼吸道阻塞 

分 类 号：R655.3[医药卫生—外科学]