【摘 要】目的：探讨急重症监护室内床边经皮微创扩张气管切开术过程中的护理对策。方法：总结我科2009年10月- 2011年4月期间应用经皮微创扩张气管切开术89例患者的手术前准备、手术中配合与手术后观察和护理方法。结果：89例患者中出现术中出血6例，意外脱管1例，插管不畅1例，皮下气肿1例，无其他严重并发症发生。结论：有效、及时的术中配合和护理能够有效的协助医生手术，并能够减少气管切开患者并发症的发生，提高患者治愈率

    【关键词】微创；经皮微创气管切开；护理

    【Abstract】Objective: To explore nursing experience of PDT in ICU.Method：To summarize preoperotive preparation、intraoperative matching、postsurgery observation and nursing approach of 89 patients accepting PDT during 2009.10 to 2011.4.Result：In 89 patients,6 patients had intraoperative hemorrhage,1 patient had accident trachea cannula exodus,1 patient intubation not smoothly,1 patient had subcutaneous emphysema,other severe complication didn’t take place.Conclusion：effectively、timely intraoperative matching and nursing can help doctor operating effectively,and reducing the complication of incision of tracheal,and enhancing recovery rate.

    【Key Words】micro-invasive; PDT;nursing.

    在急重症监护病房中 ......