经皮气管造口术在ICU危重患者中的应用体会  

The Experience of Applying Percutaneous Dilatational Tracheostomy in Patient in ICU

作　　者：陈华萍[1] 朱焕娣[1] 马丽珍[1] 冯珊珊[1] 陈文婷[1] 

机构地区：[1]广东省农垦中心医院ICU,湛江524002

出　　处：《当代护士（下旬刊）》2013年第3期103-104,共2页Modern Nurse

摘　　要：目的探讨经皮扩张气管造口术(PDT)在ICU患者中的应用效果。方法将63例患者根据气管切开方式不同分为2组,一组应用经皮气管造口术(PDT),另一组应用传统的气管切开术。观察并比较2组手术时间、切口大小、术中出血量及各种并发症的发生率和手术死亡率等。结果与传统的气管切开术比较,PDT组手术时间短、出血量少、发生感染少、气管损伤小及手术中生命体征变化小,差异具有统计学意义(P<0.05)。结论经皮扩张气管造口术是一项操作简便、快速安全、创伤小,并发症发生率低、术后伤口愈合美观的床边施救技术,适合ICU使用。Objective To evaluate the affection of percutaneous dilatational tracheostomy（PDT） applied in patients in ICU.Methods 63 cases of patients were divided.into two groups according to different ways of tracheotomy, one group of application of percutaneous dilatational tracheostomy （PDT）, another group using conventional tracheotomy, with observation and comparing of the two groups of op- eration time, incision size, amount of bleeding in operation and the incidence of complications and mortality of operation.Results Compared with conventional tracheostomy, PDT group has a shorter operation time, less bleeding, less complicated with infection, tracheal injury and intraoperative changes in vital signs etc （P〈0.05）.Conclusion Percutaneous dilatational tracheostomy technique is a simple, fast and safe, less trauma, with low complication rate, postoperative wound healing and beautiful bedside rescue technology, suitable for ICU.

关 键 词：经皮气管造口术 ICU 危重患者 

分 类 号：R473.6[医药卫生—护理学]