Yokota H, Shinoda S, Masuzawa T, Kawano M, Katoh M, Suzukawa M
Department of Surgical Neurology, Jichi Medical School, Tochigi, Japan.
No Shinkei Geka. 1999 Feb;27(2):133-8.
Nine patients with CNS damage who had been transferred to our critical care unit were treated with a commercially available kit for percutaneous dilational tracheostomy (PDT). The mean procedure time was about 11 minutes, and the perioperative complication rate was 22% (2/9). Only one complication, wound infection, occurred, and the patient was cured with conventional therapy. On the other hand, premature extubation of the translaryngeal tube occurred in one case. Long-term complications like tracheal stenosis and tracheal malacia were not experienced in two patients. They were discharged from the hospital after decannulation. In conclusion, the advantages of PDT include a short procedure time, the ability to perform the procedure at the bedside, and reduced stimulation of the trachea. Because of the safety and simplicity of the procedure, we recommend PDT for patients with CNS damage.
9例中枢神经系统损伤并转入我们重症监护病房的患者接受了一种市售经皮扩张气管切开术（PDT）套件治疗。平均手术时间约为11分钟，围手术期并发症发生率为22%（2/9）。仅发生1例并发症，即伤口感染，该患者经传统治疗后治愈。另一方面，有1例发生经喉导管过早拔管。2例患者未出现气管狭窄和气管软化等长期并发症。他们在拔管后出院。总之，PDT的优点包括手术时间短、能够在床边进行手术以及减少对气管的刺激。由于该手术的安全性和简便性，我们推荐对中枢神经系统损伤患者采用PDT。
