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纤支镜引导下的经皮气管切开在重症患者中的应用 被引量:9

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摘要 目的:通过比较经皮气管切开术(PDT)和纤维支气管镜引导下的经皮气管切开(FBPDT)在重症患者中的应用,评价FBPDT在重症患者中的应用价值及疗效。方法:将253例患者随机分为PDT组(n=127)与FBPDT组(n=126),比较两组手术时间和围手术期并发症发生情况。结果 :PDT组和FBPDT组手术操作时间分别为(7.62±2.14)min和(6.98±3.45)min,皮下气肿分别为5例和1例,气管食管瘘分别为1例和0例,两组比较差异无统计学意义(P>0.05)。2组一次性置管成功率分别为86.7%和95.4%,导丝弯折率分别为35.4%和14.5%,两组比较差异有统计学意义(P<0.05)。PDT组术后渗血>48 h 7例,FBPDT组1例,两组相比差异有统计学意义(P<0.05)。结论 :FBPDT与PDT相比(同为微创手术)具有安全有效、并发症发生率低等优点,尤其适用于重症患者。
出处 《实用医学杂志》 CAS 北大核心 2016年第4期613-615,共3页 The Journal of Practical Medicine
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参考文献11

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二级参考文献22

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引证文献9

二级引证文献25

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