颅脑外伤患者气管切开后继发大出血的防治体会

Prevention and treatment of massive hemorrhage secondary to tracheotomy in patients with craniocerebral trauma

目的:探讨颅脑外伤患者气管切开,术后继发大出血的原因及防治方法。方法:对4年间实行气管切开术的92例行回顾性分析。结果:其中术后继发大出血5例,3例抢救无效死亡,2例采取积极的综合措施,抢救成功。结论:气管切开术要合理选用气管内套管,有效使用抗生素控制感染,改善凝血功能及机体全身状况,预防局部损伤。可预防气管大出血的发生。

Objective：To study the effective measures for the prevention and treatment of massive hemorrhage secondary to tracheotomy in patients with craniocerebral trauma,so as to reduce the death rate.Methods：92 patients undergoing the tracheotomy in the recent 4 years were analysed retrospectively.Results：Massive hemorrhage occurred in 5 cases after trachectomy,2 of them were cured after positive emergency treatment,the rest died.Conclusion：Selecting the endotraceal tube reasonably,using the antibiotic effectively,improing the function of blood coagulation and general status and preventing local damage can prevent the massive hemorrhage after tracheotomy.