论文部分内容阅读
目的总结CICU危重症患者行经皮扩张气管切开术(PDT)的围术期护理方法。方法回顾分析CICU中行PDT的危重症患者33例,总结围术期护理经验。结果全组PDT一次成功率100%。手术时间9~21min,平均时间(12.1±6.3)min。全组发生并发症4例(12%),3例切口出血,1例皮下气肿,无手术相关死亡。27例好转出院,随访3月,未发生气管狭窄等远期并发症。结论 PDT是一种简便、快捷、安全、微创的气管切开技术,完善的术前准备、密切的术中配合和有效的术后护理,有助于提高手术成功率、减少术后并发症的发生。
Objective To summarize the perioperative nursing methods of percutaneous dilational tracheostomy (PDT) in critically ill patients with CICU. Methods Retrospective analysis of 33 cases of critically ill patients with PDT in CICU, summarizing perioperative nursing experience. Results The success rate of the whole group PDT was 100%. The operation time was 9-21min, the average time was (12.1 ± 6.3) min. Complications occurred in 4 cases (12%), 3 cases of incision bleeding, 1 case of subcutaneous emphysema, and no operative death. Twenty-seven patients were well discharged and were followed up for 3 months. No long-term complications such as tracheal stenosis occurred. Conclusions PDT is a simple, quick, safe and minimally invasive tracheotomy technique with perfect preoperative preparation, close intraoperative cooperation and effective postoperative care, which can help to improve the success rate of operation and reduce postoperative complications happened.