经皮穿刺气管切开技术在ICU应用的临床观察  

Clinical observation of percutaneous dilation tracheostomy in ICU

作　　者：何建三 陶晓根[1] 

机构地区：[1]安徽医科大学附属安徽省立医院南区ICU,合肥230036

出　　处：《安徽卫生职业技术学院学报》2016年第6期23-24,26,共3页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:比较经皮扩张气管切开术(PDT)与常规气管切开术(ST)在ICU危重患者的应用效果和并发症。方法:选取安徽省立医院南区ICU收治的120例需行气管切开术的重症患者分为PDT组及ST组。PDT组60例,ST组60例。研究组采用经皮扩张气管切开术,对照组则采用常规气管切开术。观察比较两组的手术时间、术中出血量、切口直径、切口愈合时间及术后并发症。结果:与ST组比较,PDT组患者手术时间短、术中出血量少、切口直径小,切口愈合时间短(P<0.05);PDT组术后并发症例数少于ST组(4例VS17例)(P<0.05)。结论:经皮扩张气管切开术是一种快速,微创,并发症少的气管切开术,值得ICU推广应用。Objective：To compare the clinical efficacy and complications of percutaneous dilation tracheostomy （PDT） with surgical traheostomy （ST） in critical patients in ICU.Methods：120 patients in ICU department of Anhui Provincial Hosiptal were selected in this study during.All these patients were randomly assigned to receive PDT group （60patients） and ST gourp （60 patients）.The surgical duration, bleeding volume, diameter of surgical incision, incision healing and related complications were compared between this two groups.Results：The surgical duration and incision healing time were obviously shorter in PDT group than in ST group （P〈 0.05）.Pateints in PDT group had smaller bleeding volume and diameter of surgical incision than in ST significantly smaller than in ST group （4 patients vs group （P〈 0.05）.In PDT group patients with related complications 17 patients） （P〈 0.05）.Conclusions：All these results revealed that PDT is a faster, more minimally invasive and fewer complications tracheostomy.h is worth popularizing in ICU.

关 键 词：经皮扩张气管切开术 气管切开术 并发症 重症医学科 

分 类 号：R653[医药卫生—外科学]