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经皮穿刺气管造口术的临床应用
http://www.100md.com 《新疆医科大学学报》 2006年第1期
常规气管切开术,,经皮穿刺气管造口术;常规气管切开术;并发症,1资料与方法,2结果,3讨论,参考文献:
     (新疆医科大学附属中医医院普外科, 新疆乌鲁木齐830000)

    摘要: 目的: 探讨经皮穿刺气管造口术(PT)和常规气管切开术(ST)2种气管造口方法的临床效果。方法: 159例患者分为2组,PT组85例,ST组74例,比较2组方法术中、术后并发症的发生率及手术操作时间和地点的不同。结果: PT、ST组手术平均操作时间分别为8.1、32 min,差异具有统计学意义(P<0.05)。PT组、ST组并发症发生率分别为15.3%、25.7%,差异无统计学意义(P>0.05)。PT组91.8%在ICU完成,ST组68.9%在手术室完成。结论: PT操作快捷,易于掌握,可在床边安全进行,可作为气管切开术的首选方法。

    关键词: 经皮穿刺气管造口术;常规气管切开术;并发症

    The clinical application of Percutaneous tracheostomy

    DUAN Shaobin, DENG Mingfei, YANG Dongying, et al

    (Department of General Surgery, Affiliated Traditional Chinese Medicine Hospital, Xinjiang Medical University,Urumqi 830000, China)

    Abstract: Objective: Evaluation of percutaneous tracheostomy (PT) with surgical tracheostomy (ST). Methods: Eightyfive patients were performed by PT technique and 78 by ST method. The complication rates, operation time and operation location were compared. Results: PT was performed in 8.1 min versus 32 min for ST group (P<0.01). 91.8 percent patient in PT group were performed at ICU while 68.9 percent in ST group were performed in operatingroom (P<0.05). There was no procedurerelated death in two groups. The very common complication in two groups was minor bleeding but the total complication rates in both groups have no significant difference. Conclusions: This study confirms that PT is not only a simpler and quiker precedure than ST but also can be performed in bedside which would eliminating the risk of patient transport. ......

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