气管切开术并发症分析

Analysis of the complications of tracheotomy

目的 总结气管切开手术的临床经验 ,评价并发症发生率及烧伤后气管切开手术时机的选择 ,提出手术安全性的措施。方法 回顾性分析 5 8例气管切开患者的临床资料。结果 本组发生 1 1例次并发症 ,发生率为 1 8.9%。 31例烧伤患者接受了气管切开手术 ,1 0例死亡 ,平均气管切开时间 2 6 .4h ;存活 2 1例 ,平均气管切开时间 1 0 .9h ,有显著性差异。结论 严格按解剖标志操作 ,使用新型材料 ,可预防严重并发症发生。中、重度吸入性损伤之烧伤患者 ,宜在伤后 1

Objective To summarize the clinical experience of tracheotomy.Methods A retrospective study of 58 patients receiving tracheotomy from Jan.2000 to Dec.2001 was conducted.Results 11 complications had happened,the incidence rate was 18.9%.31 burn patients received tracheotomy,10 patients died,the average time from burn to tracheotomy was 26.4h;21 patients survived,the average time was 10.9h,There was significant difference.Conclusions The operation should be completed within 11h for the burn patients with inhalation injury.