Andrejaitiene Judita, Sirvinskas Edmundas, Bolys Ramūnas, Zebrauskiene Ingrida
Kauno medicinos universiteto Biomedicininiu tyrimu institutas, Eiveniu 4, 3007 Kaunas.
Medicina (Kaunas). 2002;38(3):267-71.
Dysfunction of respiratory system after open heart surgery is one of the main problems in postoperative period. When mechanical ventilation is prolonged because of different causes, tracheostomy is usually performed, but the optimal time is still being discussed. In order to elucidate the influence of tracheostomy to subsequent course of disease we reviewed the indications, frequency and complications of postoperative tracheostomies performed in 1998-2000 in Cardiosurgical clinic after open heart surgery. The survey of our experience (only 15 tracheostomy procedures have been performed) showed that ventilation through tracheostomy tube is safe and comfortable way of application of prolonged mechanical ventilation: it is easier to stabilize, suction, and attach respiratory equipment. The patient can eat and, with some adjustments, can talk. Complications of tracheostomy are not often. If tracheostomy was well timed, the risk of trachea stenosis, infection of respiratory tract and other possible complications would decrease.
心脏直视手术后呼吸系统功能障碍是术后主要问题之一。当因各种原因机械通气时间延长时，通常会进行气管切开术，但最佳时机仍在讨论中。为了阐明气管切开术对后续病程的影响，我们回顾了1998 - 2000年心脏外科诊所心脏直视手术后进行的术后气管切开术的适应症、频率和并发症。我们的经验调查（仅进行了15例气管切开术）表明，通过气管切开套管进行通气是延长机械通气应用的一种安全且舒适的方式：更容易稳定、吸引和连接呼吸设备。患者可以进食，并且经过一些调整后可以说话。气管切开术的并发症并不常见。如果气管切开术时机恰当，气管狭窄、呼吸道感染和其他可能并发症的风险将会降低。
