摘要
目的探讨重症颅脑损伤患者气管切开术并发症的常见原因。方法将1997-02～2006-12我科发生的气管切开术并发症47例分成全麻气管切开组和局麻气管切开组进行分析比较。结果全麻气管切开组并发症明显少于局麻气管切开组(P<0.01)。躁动、体位改变与手术操作困难有一定关系。结论重症颅脑损伤致严重呼吸道功能障碍患者有条件时尽量在全麻气管插管后行气管切开术[1],对减少并发症的发生有积极意义。
Objective To investigate the common reasons of complications of tracheotomy for severe traumatic brain. Methods Complications happened on the 47 patients of tracheotomy from Feb. 1997 to Dec. 2006 in our department were compared between the general anesthesia group and local anesthesia group. Results Complications happened on patients under the general anesthesia were obviously lower than that under local anesthesia（x^2 =22. 686, P〈0. 01）. Restlessness and posture change could lead difficulty to tracheotomy. Conclusion Tracheotomy under general anesthesia should be performed as far as possible on patients with severe traumatic brain injury causing serious respiratory tract functional disturbance. It has positive significance to reduce the complications.
出处
《中国实用神经疾病杂志》
2008年第6期30-31,共2页
Chinese Journal of Practical Nervous Diseases
关键词
颅脑损伤
气管切开
并发症
全麻
Brain injury
Tracheotomy
Complication
General anesthesia
