| 张先江 李茂琴 卢 博 孙胜利 莫 逊.经皮扩张气管切开术在重症脑出血患者抢救中应用价值[J].,2015,15(5):897-899 |
| 经皮扩张气管切开术在重症脑出血患者抢救中应用价值 |
| Application Value of Percutaneous Dilational Tracheostomy in Rescue ofPatients with Severe Cerebral Hemorrhage |
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| DOI： |
| 中文关键词: 经皮扩张气管切开术 气管切开术 重症脑出血 |
| 英文关键词: Percutaneous dilational tracheostomy Tracheotomy Severe cerebral hemorrha |
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| 中文摘要: |
| 目的： 研究经皮扩张气管切开术在重症脑出 血患者抢救中应用 价值。 方法： 选取 2010 年 1 月 至 2013 年 12 月 在我院诊治的
80 例重度脑出血患者， 根据自 愿原则， 40 例 采用 经皮扩张气管切开术进行抢救治疗为 观察组，其余 40 例 采用 传统气管切开术治
疗 为对照组， 比较两组患者术中平均出血量、手术时间、术后切口愈合时间、颈部疤痕情况以及术后并发症发生率。 结果： ① 观察
组患者较对照组术中出血量少、手术时间 及术后切口 愈合时间较短、颈部伤疤小， 两组比较差异有统计学意义（ P＜ 0.05）； ② 观察
组患者并发症发生率为 7.5%， 明显低于对照组的 22.5%， 比较差异有统计学意义（ P＜ 0.05）。 结论： 经皮扩张气管切开术抢救重症
脑出血合并呼吸道梗阻具有操作简 单，创伤小，愈合快且并发症少的优势，值得临床推广应用。 |
| 英文摘要: |
| Objective:To observe the application value of percutaneous dilational tracheostomy in rescue of patients with severe
cerebral hemorrhage.Methods:80 cases ofpatients with severe cerebral hemorrhage from January 2010 to December 201 3 in our hospital
were selected, according to the principle of voluntary,40 cases of them given percutaneous dilational tracheostomy for treatment were set
as the observation group, the other 40 cases that received traditional tracheotomy were set as the control group. The average amount of
bleeding, average operation time, postoperative wound healing time, neck scar condition and the incidence of postoperative complications of the two groups were compared.Results:① The patients in the observation group had less bleeding, shorter operation time, postoperative wound healing timeand smaller the neck scar when compared with those of the control group, the difference was significant
(P<0.05); ② The incidence of complications of the observation group was 7.5%, significantly lower than that of the control group(22.5%),
and the difference was statistically significant (P<0.05).Conclusion:Percutaneous dilational tracheostomy in rescue of severe cerebral
hemorrhage complicated with respiratory tract obstruction has the advantages of simple operation, small trauma ,fast healing and fewer
complications, it is worthy of clinical application. |
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