摘要
目的探讨微创气管切开术(PDT),即经皮扩张气管切开术在有机磷中毒中间综合征中的应用价值,提高中间综合征患者生存率。方法2006-01～2008-01间,我院ICU病房共收治有机磷中毒中间综合征患者36例,其中行PDT20例,与常规机械通气组16例进行治疗效果比较。结果两组在操作时间、切口长度、机械通气时间、住院时间、住院期间呼吸机相关性肺炎的发生率、生存率等方面,有显著差异(P<0.05)。结论PDT用于有机磷中毒中间综合征患者,具有操作简单、创伤小、通气时间、住院时间短、住院期间呼吸机相关性肺炎的发生率低等优点,应作为该病开放呼吸道的首选方法。
Objective To observe the applicative value of percutaneous dilatation tracheotomy （PDT） in the intermediate syndrome of organophosphorous poisoning, and to improve the livability of intermediate syndrome patients. Methods 36 patients of intermediate syndrome, who were admitted to ICU from Jan. 2006 to Jan. 2008, were divided into two groups. 20 patients （Group A） underwent PDT and 16 patients （Group B） underwent machine ventilation. Results The two groups have different evidently in operate time, incision length, ventilating time, hospitalization duration, occurrence rate of pneumonia in the hospital, livability, etc （ P 〈 0.05）. Conclusion The application of PDT to the patients of intermediate syndrome with respiratory muscle paralysis has advantage such as simple operation, short ventilating time and short hospitalization duration, low occurrence rate of ventilator related pneumonia, etc. It should be considered as the first choice method to opening the airway for this disease.
出处
《黑龙江医学》
2009年第7期488-490,共3页
Heilongjiang Medical Journal
关键词
微创气管切开术
有机磷中毒
中间综合征
Percutaneous Dilatation Tracheotomy
Organophosphorous Poisoning Intermediate Syndrome
