纤支镜引导下的经皮气管切开在重症患者中的应用

发布时间：2018-02-24 14:01

本文关键词： 纤维支气管镜经皮气管切开术并发症　出处：《实用医学杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的:通过比较经皮气管切开术(PDT)和纤维支气管镜引导下的经皮气管切开(FBPDT)在重症患者中的应用,评价FBPDT在重症患者中的应用价值及疗效。方法:将253例患者随机分为PDT组(n=127)与FBPDT组(n=126),比较两组手术时间和围手术期并发症发生情况。结果 :PDT组和FBPDT组手术操作时间分别为(7.62±2.14)min和(6.98±3.45)min,皮下气肿分别为5例和1例,气管食管瘘分别为1例和0例,两组比较差异无统计学意义(P0.05)。2组一次性置管成功率分别为86.7%和95.4%,导丝弯折率分别为35.4%和14.5%,两组比较差异有统计学意义(P0.05)。PDT组术后渗血48 h 7例,FBPDT组1例,两组相比差异有统计学意义(P0.05)。结论 :FBPDT与PDT相比(同为微创手术)具有安全有效、并发症发生率低等优点,尤其适用于重症患者。
[Abstract]:Objective: to compare the application of percutaneous tracheotomy (PDT) and fibrobronchoscope guided percutaneous tracheotomy (FBPDT) in severe patients. Methods: 253 cases of FBPDT were randomly divided into PDT group (n = 127) and FBPDT group (n = 126). The operative time and perioperative complications were compared between the two groups. The time of subcutaneous emphysema was 7.62 卤2.14min and 6.98 卤3.45min respectively, and that of subcutaneous emphysema was 5 cases and 1 case, respectively. There were 1 case of tracheoesophageal fistula and 0 case of tracheoesophageal fistula. There was no significant difference between the two groups in the success rate of one-off catheterization (86.7% and 95.4), and the bending rate of wire guide were 35.4% and 14.5in group P0.052.The difference between the two groups was statistically significant. There was a significant difference between the two groups in terms of blood leakage 48 h after operation in one case of FBPDT group. Conclusion compared with PDT, the two groups have the advantages of safe and effective, low incidence of complications, especially suitable for severe patients.
【作者单位】：安徽医科大学第二附属医院重症医学科;
【分类号】：R459.7

【相似文献】