纤维支气管镜直视下经皮扩张气管切开术在ICU中的应用  

Clinical application of fiberoptic bronchoscopy-assisted percutaneous dilatational tracheostomy in ICU

作　　者：邹剑峰[1] 刘于红[1] 帅维正[1] 李大伟[1] 单毅[1] 张志成[1] 

机构地区：[1]解放军海军总医院,北京100048

出　　处：《临床军医杂志》2014年第2期195-197,202,共4页Clinical Journal of Medical Officers

摘　　要：目的探讨纤维支气管镜引导下经皮扩张气管切开术在重症监护病房(ICU)的应用价值。方法回顾性分析ICU中行气管切开的危重患者79例,其中耳鼻喉科常规外科气管切开术组23例,单纯经皮扩张气管切开术组26例,床旁联合纤支镜直视下经皮扩张气管切开术组30例,比较三组手术操作时间、术中出血量、一次置管成功率以及术中、术后并发症发生率。结果床边纤支镜直视下经皮扩张气管切开术组与单纯经皮扩张气管切开术组、常规外科气管切开术组比较,操作时间、术中出血量、术中术后并发症发生率均明显降低。结论床边纤支镜直视下行经皮扩张气管切开术可以明显缩短手术时间、减少出血量、降低并发症,提高手术成功率,适用于ICU中的危重病患者。Objective To investigate the clinical value of fiberoptic bronchoscopy-assisted percutaneous dilatational tracheostomy in intensive care unit （ICU）. Methods Seventy nine patients who needed tracheotomy in ICU were retrospective analyzed. Of the pa- tients, 23 underwent conventional tracheotomy （ Group A） , 26 underwent simple percutaneous dilational tracheostomy （ Group B） and 30 underwent fibrobronchoseope-assisted percutaneous dilational tracheostomy （Group C）. Operation time, blood loss, successful rate at first time, and postoperative complications were recorded and analyzed. Results Group C had shorter time of procedure,less bleeding, higher successful rate at first time and fewer complications compared with Group A or Group B. Conclusion The fiberoptic bronchoscopy-assisted percutaneous dilatational tracheostomy helps to significantly reduce operation time, blood loss and the incidence of postoperative complications so as to improve the success rate of surgery.

关 键 词：纤支镜 经皮扩张气管切开术 危重病 

分 类 号：R653[医药卫生—外科学]