医学重症监护患者的气管切开术经验
Experience with tracheostomy in medical intensive care patients.
作者信息
Gunawardana R H
机构信息
Department of Anaesthesiology, Faculty of Medicine, University of Peradeniya, Sri Lanka.
出版信息
Postgrad Med J. 1992 May;68(799):338-41. doi: 10.1136/pgmj.68.799.338.
Abstract
Thirty-four intensive care patients who received elective tracheostomies were studied to determine the incidence and nature of complications associated with tracheostomies. Indication for tracheostomy was long-term ventilation. Adverse consequences occurred in 47% of the patients. The most frequent problem was pneumonia. There were no intraoperative complications. Two deaths occurred due to delayed haemorrhage. Some complications of tracheostomy were influenced by the preceding period of endotracheal intubation. In patients requiring prolonged mechanical ventilation, tracheostomy carries a considerable risk. Optimal airway care only will reduce the incidence of complications.
摘要
对34例行择期气管切开术的重症监护患者进行了研究，以确定与气管切开术相关并发症的发生率和性质。气管切开术的指征是长期通气。47%的患者出现了不良后果。最常见的问题是肺炎。术中无并发症发生。有2例患者因延迟出血死亡。气管切开术的一些并发症受先前气管插管期的影响。对于需要长期机械通气的患者，气管切开术有相当大的风险。只有优化气道护理才能降低并发症的发生率。
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