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微创气管切开术在危重病人的应用 被引量:12

The application of minimally invasive tracheostomy in critical patients
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摘要 目的 探讨经皮穿刺扩张气管切开术在危重病患者的应用。方法 回顾本院 1996~2000年间实施的28例危重病患者经皮穿刺扩张气管切开术的手术时间、围手术期手术并发症及随访结果。结果28例均顺利完成手术,手术期间无严重并发症发生,术中出血极少。随访最长18个月,美容效果好。结论 经皮穿刺扩张气管切开术是一种非常好的微创手术,只要经过严格训练并掌握适应证,可以满足绝大部分的临床需要,对危重病患者尤为需要。 Objective To study the application of percutaneous dilatational tracheostomy in the critical pa- tient. Methods Twenty eight critical patients performed percutaneous dilatational tracheostomy have been followed up in our hospital during 1996 - 2000, and the operating time, the perioperative complications and the following - up results were reviewed. Results all of the 28 patients were operated on successfully,no complication occurred dur- ing the operation , and little bleeding was observed, most of the patients have been followed up, the longest following - up period was 18 months, and the cosmetic effect was good. Conclusions The percutaneous dilatational tracheo- somy is a good less invasive surgical technique. It can meet the needs of the clinical tasks and worth to apply to some critical area.
出处 《中国微创外科杂志》 CSCD 2001年第1期23-26,共4页 Chinese Journal of Minimally Invasive Surgery
关键词 微创气管切开术 危重病人 围手术期 并发症 适应证 人工气道 Surgical tracheostomy (SgT) Minimally invasive Critical patient Percutaneous dilatational tracheostomy(PDT) Complications
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参考文献18

  • 1Sheldon CH, Pudenz PH, FreshwaterDB et al. A new method for tracheostomy. J Neurosurgery, 1995,12:428-31.
  • 2Sheldon CH, Pudenz RH, Tichy FY. Percutanous tracheostomy device. JAMA,1957,165:2068-70.
  • 3Toye FJ, Weinstein JD. Apercutaneous tracheostomy device. Surgery,1969,65:384-89.
  • 4Ciaglia, Firsching R, Syniec C. Elective percutaneous dilatational tracheostomy: anew simple bedside procedure; preliminary report. Cheat, 1985,87:715-19.
  • 5Ciaglia,Kenneth D,Graniero. Percutanous Dilatational Tracheostomy;Resuhs and Long -term Follow - up. Cheat, 1992,101:464-67.
  • 6Hill BB,Weng TN,Aley Rh,et al. Percutaneous dilational tracheostomy:report of 356cases.J Trsuma, 1996,41:238-43 ;discussion 243 - 4.
  • 7Friedman Y, Fildes J, Mizock B, et al. Compariaon of percutaneous and surgicaltracheostomies. Chest, 1996,110:480-5.
  • 8Muttini S, Melloni G, Gemma M, et al. Percutaneous or surgical trachetomy.Prospective, randomized comparison of the incidence of early and late complications.Minerva - Aneatesiol, 1999,65(7-8) :521-7.
  • 9Ambesh SP, Kaushik S. Percutaneous dilational tracheostomy: the Ciaglia melhodversus the Rapitrach method. Anesth - Analg, 1998,87:556-61.
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二级参考文献2

  • 1周慧芳.气管切开术后无名动脉破裂的解剖学基础[J]国外医学耳鼻咽喉科学分册,1990(01).
  • 2徐心田.气管切开术后迟发性出血的预防[J]国外医学耳鼻咽喉科学分册,1990(01).

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