关键词 经皮穿刺；气管置管术；急救

    摘要 目的 观察经皮穿刺气管置管术(PDT)在危重患者紧急抢救中的应用疗效。方法 对18例危重患者用PORTEX LIMITED器械行气管穿刺术，从外套管内送入导引钢丝，沿钢丝导入专用气管导管到气管内，再拔出气管导管内栓及导丝。结果 PDT操作均在20min完成，较常规气管切开所需时间短，且可单人操作，一般可在3~10min完成，顺利者在4~7min完成。术中损伤小，出血量少，创口愈合时间缩短(1~2d)。结论 PDT操作方法简便，组织损伤轻微，出血量少，可以单人施术，管顾于急救及基层医院应用。

    TRACHEOSTOMY WITH AID OF TRACHEOFISTULIZATION IN EMERGENCY PATIENTS

    Wang Zuo.

    Department of Emergency, Feixi County People's Hospital, Feixi 231200,China

    Key words tracheofistulization; tracheostomy; emergency

    Abstract Objective To evaluate tracheostomy with the aid of "Portex" tracheofistulization in emergency treatment in urgent patients. Methods In 18 cases indicated for tracheostomy, tracheostomy was successfully performed with the aid of "Portex" instrument for percutaneous puncture and guidance of tracheostomy tubes. Results Generally this procedure was accomplished in 2~20 minutes, and in the majority of cases in 4~7 minutes, there appeared no complications in the operation. Conclusion The percutaneous tracheostomy is a new, minimal invasive procedure, which provide an easier and more rapid method of insertion for tracheostomy tube than conventional open surgical technique, especially it can be completed by only one doctor. ......