摘要
目的 :探讨神经外科重危患者气管切开的意义及指征。方法 :175例神经外科重危患者行气管切开术 ,其中重型颅脑伤117例 (6 6 .9% ) ,颅内及高颈段脊髓肿瘤 2 2例 (12 .6 % ) ,高血压脑出血 2 5例 (14 .3% ) ,其它 11例 (6 .1% )。平均带管 14d ,病情好转后套管均直接一次性拔除。结果 :治愈好转 113例 (6 4 .5 % ) ,自动出院 16例 (9.1% ) ,死亡 4 6例 (2 6 .3% )。术中无 1例发生严重并发症。结论 :神经外科重危患者应及时行气管切开 ,以解除呼吸道梗阻 ,防止窒息 ,改善通气 ,防止加重脑缺氧 ,防治严重肺部感染 。
Objective:To discuss the significance and related problems of tracheotomy in neurosurgery severe patients.Methods:Tracheotomy was performed in 175 neurosurgery severe patients. Of them,117 patients (66.9%) were with severe craniocerebral injury, 22 patients(12.6%) with intracranial tumor or spinal cord of upper cervical segments. The cannula was pulled out after the symptom was relieved .The average time of pulling out the cannula was 14 days.Results:113 of 175 patients (64.5%) were cured, 16 of them(9.1%) discharged unrelieved, and 46(26.3%) died. No severe complications occurred during the tracheotomy.Conclusion:The tracheotomy operation should be performed in time in neurosurgery severe patients to relieve respiratory track obstruction and improve ventulation, prevent aggravating brain anoxia and severe pulmonary infections ,promote the recovery of nerve functions.
出处
《西北国防医学杂志》
CAS
2002年第6期448-449,共2页
Medical Journal of National Defending Forces in Northwest China
