经皮旋转微创气管切开术在危重病中的应用

Application of rotating percutaneous dilational tracheostomy for patients with critical illness

目的探讨经皮旋转微创气管切开术在危重病中的应用。方法分析笔者所在医院ICU2010年12月～2012年10月期间进行气管切开术患者共54例,其中经皮旋转微创气管切开术组(PDT组)22例,传统气管切开术组32例,比较两组的手术切口大小、手术时间、术中出血量、术后并发症发生率。结果 PDT组的手术切口长度和手术时间均明显短于传统气管切开术组(P<0.01)、术中出血量及术后并发症发生率比较,差异具有统计学意义(P<0.01)。结论经皮旋转微创气管切开术是一种微创的、快捷的急救技术,适合ICU的危重患者,在ICU中有较大的应用价值。

Objective To explore the application value of rotating percutaneous dilational tracheostomy（PDT） in intensive care unit for patients with critical illness. Methods The clinical data of fifty-four patients undergoing tracheostomy in ICU were analyzed from December 2010 to October 2012.Twenty-two patients were tracheostomy with PDT and thirty-two patient were tracheostomy with traditional surgical tracheostomy.The cutting size,the opertation time,the intraoperative blood loss and postoperative complications were compared. Results PDT when compared with the traditional surgical tracheostomy,the cutting size was smaller（P 〈 0.01）, the opertation time was shortter （P 〈 0.01）,the intraoperative blood loss was less（P 〈 0.01）,the rates of postoperative complications were lower （P 〈 0.01）. Conclusion PDT is a kind of mirco-surgery technique and has the very high application value in ICU.