[神经外科患者穿刺扩张气管切开术的术中及术后早期并发症]

[Intraoperative and early postoperative complications of puncture-dilation tracheostomy in neurosurgical patients].

作者信息

Gorshkov K M, Goriachev A S, Savin I N, Shchepetkov A N, Oshorov A V, Popugaev K A, Abramov T A, Fokin M S

出版信息

Anesteziol Reanimatol. 2008 Mar-Apr(2):75-9.

Abstract

The paper provides a detailed analysis of the most common and clinically significant complications due to percutaneous dilation tracheostomy performed in 479 patients with neurosurgical diseases in 2002-2007. It also considers such complication of the technique, which is specific to neurosurgical patients, as elevated intracranial pressure (ICP), and describes a procedure of tracheostomy in patients with elevated ICP. Percutaneous dilation tracheostomy made by a skilled surgeon is shown to be effective and safe.

摘要

本文详细分析了2002年至2007年期间对479例神经外科疾病患者实施经皮扩张气管切开术所导致的最常见且具有临床意义的并发症。它还探讨了该技术特有的、神经外科患者所面临的并发症，如颅内压升高（ICP），并描述了颅内压升高患者的气管切开手术过程。结果表明，由熟练外科医生进行的经皮扩张气管切开术是有效且安全的。