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经皮气管切开术在神经外科病人中的应用 被引量:21

Management of percutaneous tracheostomy neurosurgical patients
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摘要 目的 介绍经皮气管切开术在神经外科的应用经验。方法 对 42例神经外科病人采用导丝扩张钳法行经皮气管切开术。结果  41例成功 ,1例改行正规的气管切开术。手术时间平均 8.5min。无严重并发症及与手术操作有关的死亡发生。结论 经皮气管切开术简单、快速、损伤小 。 Objective To introduce our experience of application of percutaneous tracheostomy on neurosurgical patients.Method Patients percutaneous tracheostomy by the guide wire dilating forceps (GWDF) technique was performed on 42 neurosurgical and the data was analyzed retrospectively.Results The procedure was successful in 41 of 42 patients.In 1 patient the procedure was converted to standard surgical tracheostomy.The mean duration of the procedure was 8.5 min.No life-threatening complications or death were related to the procedure.Conclusion Percutaneous tracheostomy by the GWDF technique is a simple,minimally invasive and rapidly performed method for neurosurgical patients.
出处 《临床外科杂志》 2003年第4期243-244,共2页 Journal of Clinical Surgery
关键词 经皮气管切开术 神经外科 并发症 percutaneous tracheostomy neurosurgery complication
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参考文献4

  • 1Johnson JL, Cheatham ML, Sagraves SG, et al. Percutaneous dilational tracheostomy: A comparison of single - versus multiple - dilator techniques[J]. Crit Care Med, 2001, 29(6) : 1251-1254.
  • 2Griggs WM, Worthley LIG, Gilligan JE, et al. A simple percutaneous tracheostomy technique[J]. Surg Gynecol Obstet, 1990, 170(6):543-545.
  • 3Cooper RM. Use and safety of percutaneous tracheostomy in intensive care. Report of a postal survey of ICU practice[J ]. Anaesthesia, 1998,53(12) : 1209-1227.
  • 4Heerbeek N, Fikkers BG, Hoogen FJA, et al. The guide wire dilating forceps technique of percutaneous tracheostomy[J]. Am J Surg, 1999,177(4) : 311-315.

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