Koksal G M, Sayilgan N C, Oz H
Dept of Anaesth. & Reanimation, Istanbul Univ., Cerrahpasa Medical Faculty, Istanbul, Turkey.
Middle East J Anaesthesiol. 2006 Jun;18(5):903-10.
The aim of this study was to investigate the rate, timing, the incidence of complications of percutaneous dilatational tracheostomy (PDT) and its effects by on nosocomial pneumonia.
The study is a retrospective analysis of 104 patients (56 males, 48 females) > or = 18 years (54 +/- 19) who had undergone a PDT for respiratory failure during the five years 1998-2003.
Among 238 patients requiring mechanical ventilation > or = 48 hours, 104 (43.7%) required PDT. PDT was performed after 4.3 +/- 2.3 days of ventilation and the disconnection from mechanical ventilation was 13.6 +/- 8.5 days. Lower airway tract infection was detected in 88 patients: 55 patients (62.5%) before PDT and in 33 patients (37.5%) after PDT. The nosocomial pneumonia was observed after 5.9 +/- 1.67 days of ventilation.
Our results suggest that PDT was performed relatively early, with an acceptable complication rate and that our post-PDT nosocomial pneumonia incidence is low.
本研究旨在调查经皮扩张气管切开术（PDT）的实施率、时机、并发症发生率及其对医院获得性肺炎的影响。
本研究对1998年至2003年期间因呼吸衰竭接受PDT治疗的104例年龄≥18岁（54±19岁）患者（56例男性，48例女性）进行回顾性分析。
在238例需要机械通气≥48小时的患者中，104例（43.7%）需要进行PDT。PDT在通气4.3±2.3天后进行，脱机时间为13.6±8.5天。88例患者检测到下呼吸道感染：55例（62.5%）在PDT前，33例（37.5%）在PDT后。医院获得性肺炎在通气5.9±1.67天后出现。
我们的结果表明，PDT实施相对较早，并发症发生率可接受，且PDT后医院获得性肺炎的发生率较低。
