经皮扩张气管切开术在ICU中的临床应用价值(1)
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[摘要] 目的：通过比较传统开放性气管切开术(OT)和经皮扩张气管切开术(PDT)在ICU中的应用情况来评价PDT的临床应用价值。方法：将84例需要气管切开的危重患者随机分成两组，即传统开放性气管切开组(OT组)和经皮扩张气管切开组(PDT组)，各42例。OT组行传统开放性气管切开术，PDT组行经皮气管切开术，观察手术时间、切口大小、术中出血量、伤口愈合时间及术后并发症。结果：PDT组手术时间为(8.35±1.76) min，切口大小为(1.27±0.20) cm，术中出血量为(6.03±1.70) ml，伤口愈合时间为(4.5±0.5) d，明显低于对照组(P<0.01)，术后并发症发生率也低于对照组。结论：经皮扩张气管切开术操作简单，安全快速，出血量少，创伤小，伤口愈合时间快，并发症少，明显优于传统开放性气管切开术，在ICU危重患者抢救中，有广泛的应用价值。
[关键词] 经皮扩张；气管切开术；ICU；危重患者
[中图分类号] R605.97 [文献标识码]A [文章编号]1673-7210(2008)03(b)-043-02
Clinical value of percutaneous dilatational tracheotomy in ICU
MO Wen-qing, DENG Hong
(Department of ICU, Guandong Lianzhou People's Hospital, Lianzhou513400, China)
[Abstract] Objective: To evaluate the clinical value of the percutaneous dilatational tracheotomy(PDT) by comparing the PDT with the open tracheotomy(OT) in ICU patients. Methods: 84 critically illed patients were randomized divided into two groups , PDT group 42 cases and OT group 42 cases. The operating time, cutting size, bleeding amount and complications were observed in patients.Results:In the PDT group, the operational time was(8.35±1.76) min, the cutting size was (1.27±0.20) cm, bleeding amount was (6.03±1.70) ml, healing time was (4.5±0.5) d，with significant difference between two groups (P
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