经皮扩张气管切开术在急危重症患者中的应用体会

The application experience of percutaneous dilational tracheostomy for the critical patients

目的探讨经皮扩张气管切开术在急危重症患者中的应用价值。方法收集采用经皮扩张气管切开术患者40例(观察组)和行传统气管切开术患者40例(对照组),分析比较二者的临床资料。结果观察组患者手术时间为(7.23±1.31)min,手术出血量(10.97±2.30)ml,颈部瘢痕(0.35±0.14)cm2,均优于对照组手术时间(27.88±2.48)min,手术出血量(30.15±4.38)ml,颈部瘢痕(0.92±0.23)cm2,差异均有统计学意义(P<0.05)。对照组并发症发生率30.00%,显著高于观察组的2.50%,差异具有统计学意义(P<0.05)。结论经皮扩张气管切开术具有手术时间短、出血少等优点,把握好适应证的前提下,应在急危重症患者救治中积极应用。

Objective To investigate the application value of percutaneous expanded tracheotomy for the critical patients.Methods Collected 40 cases patients who were applied percutaneous expanded tracheotomy to be observation group,another 40 patients who were applied traditional tracheotomy to be control group,analys the two group＇s clinical data.Results In the observation group,the operation time was（7.23±1.31）min,surgery amount of bleeding was（10.97±2.30）ml,neck scar was（0.35±0.14）cm2,all these indicators were better than that of the control group,in which the operation time was（27.88±2.48）min,surgery amount of bleeding was（30.15±4.38）ml,neck scar was（0.92±0.23）cm2,all these differences display statistically significant（P0.05）.Complication rate of the control group was 30.00%,significantly higher than that of the observation which is 2.50%,the difference display statistical significance（P0.05）.Conclusion Percutaneous expanded tracheotomy with shorter operation time,less bleeding,than traditional tracheotomy,should be actively applied for critical patient,when hold the indication premise.