经皮扩张气管切开术在神经外科重症监护室的应用  

Percutaneous dilational tracheostomy in neurosurgery intensive care unit

作　　者：何海勇[1] 王辉[1] 李文胜[1] 石德金[1] 梁朝峰[1] 郭英[1] 

机构地区：[1]中山大学附属第三医院神经外科,广东广州510630

出　　处：《中国现代医学杂志》2009年第3期446-448,452,共4页China Journal of Modern Medicine

摘　　要：目的评价经皮扩张气管切开术在神经外科重症监护室应用的安全性和有效性。方法80例需气管切开的急危重患者分为经皮扩张气管切开组及传统手术组,对手术操作时间、并发症(包括术中、术后早期、术后晚期)、费用、置管时间等方面进行比较。结果经皮扩张气管切开组操作时间[(10.89±3.26)min]少于传统手术组[(30.16±6.12)min](P<0.05);经皮扩张气管切开组术中并发症低于ST组(P<0.05),术后早期、术后晚期并发症与传统手术组差异无显著性(P>0.05)。结论经皮扩张气管切开术是处理困难气道、紧急气管切开和预防性气管切开的优先选择。[Objectives] To assess the safety and effectiveness of PDT in the NICU. [Methods] 80 cases of acute and severe patients in NICU needed tracheotomy were divided into the PDT group and the traditional surgery group. Then to compare the procedure time, complications （including peri procedural and Early/late post-operation）, the cost and the time to insertion. [Results] Time for insertion of PDT group was （10.89±3.26） minutes, while the ST group is （30.16±6.12） minutes（P 〈0.05）, the complications in peri procedural were lower than ST group （P 〈0.05）, but the early/late postoperative complications with the ST group was not significant （P 〉0.05）. [Conclusions] Percutaneous dilatational tracheostomy is preferences in dealing with difficult airway, an emergency tracheotomy and preventive tracheotomy in NICU.

关 键 词：经皮扩张气管切开术 传统气管切开术 呼吸功能障碍 

分 类 号：R651.1[医药卫生—外科学]