复杂气管切开术25例临床分析  

Clinical analysis on 25 cases of complicated tracheotomy

作　　者：张旻[1] 尹兆富 段丽华[1] 白永[1] 韩淼淼 刘永亮[1] 韩学锋[1] ZHANG Min;YIN Zhaofu;DUAN Lihua;BAI Yong;HAN Miaomiao;LIU Yongliang;HAN Xuefeng(Department of Otorhinolaryngology, Zibo Central Hospital, Zibo 255000, P. R. Chin)

机构地区：[1]淄博市中心医院耳鼻喉科,淄博255000

出　　处：《滨州医学院学报》2017年第6期415-416,共2页Journal of Binzhou Medical University

摘　　要：目的总结特殊体位下复杂气管切开术的临床经验。方法对25例特殊体位下复杂气管切开术患者资料进行总结分析。其中头颈强迫低头位6例,半坐位4例,坐位2例,头侧位2例,半侧卧位1例,头颈不可后仰10例。结果 25例患者气管切开术均顺利,1例并发术后出血,1例并发皮下气肿。结论对于特殊体位气管切开术,严格按照手术学解剖慎重仔细操作。解剖标志因人而异,胸骨上窝标志尤为重要。Objective To summarize the clinical experience of complex tracheotomy under special posture.Methods The data of 25 patients who underwent complex tracheotomy in special posture were analyzed,including 6 cases of forced head-down tilt,4 cases of semi-sitting position,2 cases of sitting position,2 cases ofhead lateral position,1 case of lateral position and 10 cases without head hypsokinesis.Results All cases weresuccessfully completed with tracheotomy.Subcutaneous emphysema occurred in 1 case,hemorrhage in 1 case.Conclusion Strict accordance with surgical dissection and careful operation are necessary in special position tracheotomy.Anatomical landmarks vary from person to person,and attentions must be paid to suprasternal fossa.

关 键 词：特殊体位 气管切开术 胸骨上窝 

分 类 号：R459.7[医药卫生—急诊医学]