经皮气管切开在神经外科危重患者中的应用  

Application of Percutaneous Tracheostomy in Critically Ⅲ Neurosurgical Patients

作　　者：李彬 钟学云 宋显慧 LI Bin;ZHONG Xueyun;Song Xianhui(Department of Neurosurgery,Fenyi People’s Hospital,Fenyi 336600,China)

机构地区：[1]分宜县人民医院神经外科,江西分宜336600

出　　处：《实用临床医学（江西）》2018年第1期36-37,40,共3页Practical Clinical Medicine

摘　　要：目的比较经皮气管切开与传统气管切开在神经外科危重患者中的应用。方法回顾分析136例需要行气管切开的神经外科危重患者,其中经皮气管切开组(PT)74例与传统气管切开组(TT)62例,2组进行对照。比较两种气管切开方法手术时间、术中出血量、拔管后切口愈合时间、颈部瘢痕及并发症的发生有无差异。结果经皮气管切开(PT)组患者在手术时间、术中出血量、切口愈合时间、颈部瘢痕方面明显优于传统气管切开组(TT),差异均有统计学意义(P<0.05)。经皮气管切开(PT)组患者总的并发症率低于传统气管切开组(TT),差异均有统计学意义(P<0.05)。结论经皮气管切开术比传统气管切开治疗效果好,具有手术时间短,出血量少、创伤小、并发症少等优点,适合在神经外科危重患者中应用。Objective To compare the application of percutaneous tracheostomy(PT)and traditional tracheostomy(TT)in critically ill neurosurgical patients.Methods Clinical data of 136 critically ill neurosurgical patients who underwent PT(74 cases)or TT(62 cases)were analyzed retrospectively.The operation time,intraoperative blood loss,incision healing time,neck scar and complications were compared between the two groups.Results Compared with TT group,the operation time,intraoperative blood loss,incision healing time and neck scar were decreased in PT group(P<0.05).In addition,the total incidence of complications in PT group was lower than that in TT group(P<0.05).Conclusion The PT is superior to TT for reducing operation time,blood loss,trauma and complications in critically ill neurosurgical patients

关 键 词：经皮气管切开 传统气管切开 危重患者 

分 类 号：R605.97[医药卫生—急诊医学]