摘要
目的研究急危重症患者的气管切开术手术方式选择分析及临床体会。方法回顾性分析 50例在我院收治的急危重症患者,随机分为甲组和乙组,两组均25例。甲组采用传统气管切开术治疗,乙组采用经皮气管切开术治疗,比较两组的手术时间、术中出血量、并发症发生率。结果甲组手术时间为(31.12±3.87)min,术中出血量(21.24±3.86)mL;乙组手术时间为(19.68±4.35)min,术中出血量为(9.27±2.41)mL,甲组并发症发生率为32%,乙组并发症发生率为4%。结论经皮气管切开术治疗急危重症患者可缩短手术时间,减少术中出血量,并降低并发症发生率。
Objective To study the selection and clinical experience of tracheotomy in critically ill patients.Methods Retrospective analysis was performed on 50 critically ill patients admitted to our hospital.They were randomly divided into group A and Group B,with 25 cases in both groups.Traditional tracheotomy was used in group A,while percutaneous tracheotomy was used in group B.The operation time,intraoperative blood loss and complication rate of the two groups were compared.Results In group A,the operative time was (31.12±3.87) min and the intraoperative blood loss was (21.24±3.86) mL.In group B,the operative time was (19.68±4.35) min,the intraoperative blood loss was (9.27±2.41) mL,the complication rate was 32% in group A and 4% in group B.Conclusion Percutaneous tracheotomy can shorten the operation time,reduce intraoperative blood loss and reduce the incidence of complications in critically ill patients.
作者
王伟
何英平
Wang Wei;He Yingping(Department of Otolaryngology,Affiliated Danyang Hospital of Nantong University,The People's Hospital of Danyang,Jiangsu,Danyang,212300,China;Department of Functional inspection division,Affiliated Danyang Hospital of Nantong University,The People's Hospital of Danyang,Jiangsu,Danyang,212300,China)
出处
《中国医学文摘（耳鼻咽喉科学）》
2020年第4期261-263,共3页
Chinese Medical Digest(Otorhinolaryngology)
关键词
急危重症
传统气管切开术
经皮气管切开术
Acute critical illness
Traditional tracheotomy
Percutaneous tracheotomy
