本文選題：呼吸衰竭 + 氣管插管術(shù)��； 參考：《山東醫(yī)藥》2015年39期

【摘要】：目的觀察單步經(jīng)皮旋轉(zhuǎn)氣管切開術(shù)(SSPRDT)在呼吸衰竭患者搶救中的應(yīng)用效果。方法因呼吸衰竭行經(jīng)皮氣管切開術(shù)的重癥患者78例,其中采用SSPRDT 36例(觀察組),采用經(jīng)皮擴張氣管切開術(shù)(PDT)42例(對照組)。比較兩組手術(shù)時間、術(shù)中出血量、術(shù)前與術(shù)中氧分壓差、術(shù)后并發(fā)癥發(fā)生率。結(jié)果觀察組順利完成手術(shù),對照組1例發(fā)生大出血,術(shù)中改行傳統(tǒng)氣管切開。觀察組手術(shù)時間為(7.9±1.34)min、術(shù)中出血量為(4.1±1.32)m L、術(shù)前與術(shù)中動脈血氧分壓差為(34.4±7.45)mm Hg、術(shù)后并發(fā)癥發(fā)生率為11.1%(4/36),對照組分別為(10.8±1.30)min、(8.8±2.74)m L、(82.1±16.92)mm Hg、28.57%(12/42),兩組各項指標(biāo)相比,P均0.05。對照組3例發(fā)生氣管后壁損傷或穿孔,觀察組未出現(xiàn)此類并發(fā)癥。結(jié)論呼吸衰竭患者搶救中采用SSPRDT操作時間短,置管成功率高,術(shù)后并發(fā)癥少。
[Abstract]:Objective to observe the effect of single step percutaneous rotary tracheotomy (SSPRDTT) in the treatment of respiratory failure. Methods Seventy-eight patients with respiratory failure underwent percutaneous tracheotomy, 36 of them were treated with SSPRDT (observation group) and 42 patients were treated with percutaneous dilatation tracheotomy (control group). The time of operation, the amount of blood loss, the difference of oxygen partial pressure before and during operation, and the incidence of postoperative complications were compared between the two groups. Results in the observation group, the operation was completed successfully, while in the control group, the massive hemorrhage occurred in 1 case, and the traditional tracheotomy was performed during the operation. In the observation group, the operative time was 7.9 鹵1.34 minutes, the intraoperative bleeding volume was 4.1 鹵1.32mL, the difference between preoperative and intraoperative arterial oxygen partial pressure was 34.4 鹵7.45)mm Hg, the postoperative complication rate was 11.1g / 36, and the control group was 10.8 鹵1.30ml / min, 8.8 鹵2.74ml / L and 82.1 鹵16.92)mm Hg 28.57m / L, respectively (P < 0.05). There were 3 cases in the control group with injury or perforation of the posterior wall of trachea, but no such complications occurred in the observation group. Conclusion the operation time of SSPRDT is short, the success rate of catheterization is high, and the postoperative complications are less in patients with respiratory failure.
【作者單位】： 蚌埠醫(yī)學(xué)院附屬泰興醫(yī)院;泰興市人民醫(yī)院;
【分類號】：R563.8

【參考文獻(xiàn)】

相關(guān)期刊論文 前4條

1 陳濱;經(jīng)皮穿刺擴張氣管切開術(shù)(PDT)的氣管后壁穿孔[J];國外醫(yī)學(xué).耳鼻咽喉科學(xué)分冊;2001年05期

2 武猛;王q，

本文編號：1784966