摘要
目的:探讨困难条件下气管切开术的方法和经验,以期缩短手术时间,减少并发症,降低死亡率。方法:回顾性总结我科5年来施行的困难条件下气管切开术36例。结果:36例困难条件下的气管切开术全部获得成功,未出现严重并发症及与气管切开术有关的死亡病例。结论:环状软骨弓在绝大多数情况下都可作为气管切开术明显和稳定的参考标志。3度呼吸困难的患者,条件允许时最好先经口或经鼻插管,变紧急气管切开为常规气管切开,能降低手术意外的发生。
Objective： To discuss the methods and experience of tracheotomy in difficult condition to shorten operation time, decrease complications and reduce mortality. Methods： Thirty - six cases with tracheotomy in difficult condition during the past five years in our department were analyzed retrospectively. Results： The successful result was obtained in all 36 cases with tracheotomy in difficult condition and no serious complications or tracheotomy - relatod death was observed. Conclusion： The bow of cricid cartilage is a distinct and stable sign for tracheotomy in many cases. Peroral or pernasal intubation should be performed for those of serious dyspnea to change emergency tracheotomy into routine one, by which the operative suddenness can be reduced.
出处
《现代肿瘤医学》
CAS
2007年第4期511-512,共2页
Journal of Modern Oncology
