气管切开术的回顾性分析
气管切开,,气管切开；喉梗阻；颈段气管,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨气管切开术的手术指征以及手术方法、并发症的防治。方法 通过局麻或无麻下完成30例手术，并加以归类分析。结果 除2例死亡外，余均顺利完成手术。术后并发症发生情况：创口持续出血1例(3.3%)，创口感染3例(10.0%)，气胸2例(6.7%)，皮下气肿5例(16.7%)，拔管困难2例(6.7%)，吞咽困难2例(67%)。结论 气管切开术为高风险手术，必须严格掌握其适应证，熟练手术，加强术后观察及护理，提高成功率降低死亡率。【关键词】 气管切开；喉梗阻；颈段气管
The retrospective analysis on tracheotomy
CHEN Fang-ming.
302 Hospital of Anshun,Guizhou 561000,China
【Abstract】 Objective To explore the operation indication,operation methods of tracheotomy,and how to prevent and cure the complicating diseases after the operation.
Methods 30 cases were operated tracheotomy by local infiltration or no infiltration,and were classificated to analyse.Results 2 cases died,other cases finished completely the operation.After tracheotomy,there were operative complicating diseases,including:opening of wound bleeding 1 case (3.3%),opening of wound infection 3 cases (10.0%),pneumothorax 2 cases (6.7%),subcutaneous emphysema 5 cases (16.7%),difficulty in extubation 2 cases (6.7%),dysphagia 2 cases (6.7%) .Conclusion Tracheotomy is a high risk operation.We must grasp strictly the operation indication,be proficient in the operation and strengthen the post surgical care to enhance the rate of success and lower the rate of death. ......
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