经皮旋转扩张气管套管导入术在重型颅脑创伤患者救治中的应用  

Application of percutaneous dilational tracheostomy in serious traumatic brain injury

作　　者：李建伟[1] 孙世中[1] 孙洪涛[1] 张赛[1] 

机构地区：[1]武警医学院附属医院脑系科中心,天津300162

出　　处：《武警医学院学报》2008年第5期384-386,共3页Acta Academiae Medicinae CPAPF

摘　　要：【目的】比较经皮旋转扩张气管套管导入术与传统气管切开术在重型颅脑创伤患者救治中的应用。【方法】对武警医学院附属医院脑系科中心NICU内60例重型颅脑创伤患者分别行经皮旋转扩张气管套管导入术及传统气管切开术,2组各30例。观察2组患者气管切开操作时间,切口大小、术中出血情况、疤痕大小、气胸及皮下气肿发生率及伤口感染等手术并发症情况。【结果】与传统气管切开相比,经皮旋转扩张气管套管导入术操作时间明显缩短,手术并发症明显减少。【结论】经皮旋转扩张气管套管导入术是一种快速、安全、简易的气管切开技术。[Objective] To compare the application of percutaneous dilational tracheostomy （PDT） and open tracheostomy （OT） in sTBI. [Methods] By means of analysis of 30 cases of PDT and 30 cases of OT treatment to compare the operating time and the operative complication. [Results] Controlled with OT, PDT greatly shortened the operating time and reduced the operative complication. [Conclusions] We found that PDT is a rapid, safe and simple procedure for tracheostomy.

关 键 词：气管切开术 经皮旋转扩张气管套管导入术 手术并发症 重型颅脑创伤 

分 类 号：R615[医药卫生—外科学]