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目的探讨经皮气管切开术在神经重症医学科(ICU)危重症患者中的应用效果。方法对2011年6月-2012年6月192例行经皮气管切开术患者术中及术后并发症的临床资料进行回顾性分析。结果 192例手术平均时间(6.4±2.1)min,平均出血量<2 mL,无大出血、气管食管瘘、气道狭窄等严重并发症发生。结论经皮气管切开术操作简单,创伤小,并发症发生率低,值得在神经ICU危重症患者中推广应用。
Objective To investigate the effect of percutaneous tracheotomy in critically ill patients with intensive care unit (ICU). Methods The clinical data of 192 patients who underwent percutaneous tracheostomy between June 2011 and June 2012 were analyzed retrospectively. Results The average operation time of 192 cases was (6.4 ± 2.1) min and the average bleeding volume was less than 2 mL. No serious hemorrhage, tracheal esophageal fistula and stricture of airway occurred. Conclusion Percutaneous tracheotomy is simple, less invasive and has a lower complication rate. It is worthy of promotion and application in patients with neurological ICU.