摘要
目的探讨经皮扩张气管切开术在危重患者诊疗中的应用价值。方法42例重症患者根据气管切开方式不同分为两组，I组（22例）应用经皮扩张气管切开术，Ⅱ组（20例）采用传统气管切开术，比较两组手术时间、术中及术后生命体征变化及出血量等。结果I组术中血压（102±30）mmHg、心率（70±30）次／min、手术时间（8．2±1．3）min、术中出血量（1．8±0．2）ml、切口大小（0．8±0．1）cm等明显低于Ⅱ组的（140±45）mmHg、（95±35）次／min、（18．6±3．6）min、（12．7±3．6）mI、（2．6±0．4）em（t=-8．421、-7．338、-36．310、-38．220、-60．227，均P〈0．05），两组呼吸[（18±4）次／min与（22±6）次／min]、血氧饱和度[（91±8）％与（854-10）％]、置管操作≥2次（4例与3例）、皮下气肿（0例与4例）、切口感染（1例与5例）等差异均无统计学意义（均P〉0．05）。结论经皮扩张气管切开术具有简单、快速、损伤小、对患者生命体征影响小的特点，有利于气管切开术后患者的管理。
Objective To investigate the application value of Percutaneous dilatational tracheal incision in the treatment of critically ill patients. Methods 42 critically ill patients were divided into two groups according to the tracheotomy, I group （22 cases） were given percutaneous dilatational tracheal incision, H group （20 cases） were given the traditional tracheotomy, the operative time, intraoperative and postoperative vital signs and bleeding were compared. Results The blood pressure of I group were （ 102 ± 30） mmHg, heart rate （70 ± 30） beats/rain, the operative time （ 8.2 ± 1.3 ） min, intraoperative blood loss （ 1.8 ± 0.2） ml, incision size （ 0.8 ± 0.1 ） cm, and Significantly lower than the Ⅱ group （ 140 ± 45 ） mmHg, （ 95 ± 35 ） times/rain, （ 18.6 ± 3.6 ） rain, （ 12.7 ± 3.6 ） ml, （ 2.6 ± 0.4）cm（t = -8.421, -7.338, -36.310, -38.220, -60.227,all P 〈0.05）. the breathing frequency were（18 ± 4） times/min and （22 ±6） times/rain, oxygen saturation were（91 ±8）% and （85 ± 10）%, the catheter operation ≥2 were 4 cases and 3 cases, the subcutaneous emphysema were 0 cases and four cases, the incision infection were 1 case and 5 cases, there were no significant difference between two group（ all P 〉 0.05）. Conclusion The percutaneous dilatational trachea incision has a simple, fast, small damage, have small impact of on the vital signs of patients, Conducive to the management of patients after tracheotomy.
出处
《中国基层医药》
CAS
2012年第6期862-863,共2页
Chinese Journal of Primary Medicine and Pharmacy
