实用医学杂志2016，Vol.32Issue(15)：2452-2453,2.DOI:10.3969/j.issn.1006-5725.2016.15.009
牛角型经皮气管切开术在神经外科危重患者中的应用
Application of horns percutaneous tracheostomy in critically ill neurosurgical patients
摘要
Abstract
Objective To introduce the experience of applying horns percutaneous tracheostomy in critically ill neurosurgical patients. Methods The size of operative incision, operation time, amount of blood loss, incision healing time , and incidence of complications were analyzed retrospectively in 95 patients with GWCH and 83 with ST. Results There were smaller size of operation incision [(1.6 ± 0.4) cm vs. (3.8 ± 0.9) cm], shorter operation time [(4.4 ± 2.8) min vs. (20.5 ± 5.2) min], less blood loss [(4.5 ± 0.8) mL vs. (8.5 ± 4.5) mL] and shorter incision healing time [(3 ± 0.5) d vs. (5 ± 1.5) d] in GWCH group than that in ST group and the difference was statistical significant (P < 0.01). The incidence of incision blood leaking after operation was lower in GWCH group (2.1%) than that in ST group (16.9%) and the incidence of incision sputum leaking was lower in GWCH group (1.1%) than that in ST group (14.5%), but no difference was found in terms of the incidence of other complications (P > 0.05). Conclusions When compared with traditional ST, horns percutaneous tracheostomy is with smaller incisions , shorter operation time , less blood loss , faster healing and lower incision sputum leaking and is worthy of popularization in critically ill neurosurgical patients.关键词
经皮气管切开术/经皮导丝牛角型扩张技术/神经外科Key words
Percutaneous tracheostomy/Guide wire cattle horn/Neurosurgery引用本文复制引用
楚胜华,马延斌,冯东福..牛角型经皮气管切开术在神经外科危重患者中的应用[J].实用医学杂志,2016,32(15):2452-2453,2.基金项目
教育部留学回国人员科研启动基金项目（编号082003）；上海市卫生和计划生育委员会科研基金面上项目（编号201540266）；上海交通大学医工交叉研究基金项目（编号YG2015MS25）；上海交通大学医学院附属第三人民医院自然科学研究基金项目 （）
