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经皮扩张气管切开术

Percutaneous dilatational tracheostomy.

作者信息

Cho Young-Jae

机构信息

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

出版信息

Tuberc Respir Dis (Seoul). 2012 Mar;72(3):261-74. doi: 10.4046/trd.2012.72.3.261. Epub 2012 Mar 31.

DOI:10.4046/trd.2012.72.3.261
PMID:23227066
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3510276/
Abstract

For decades, the standard technique for tracheostomy was the open, surgical technique. However, during the past 20 years, the use of percutaneous dilatational tracheostomy has been increased and shown to be a feasible and safe procedure in critically ill patients. The purpose of this report is to review the percutaneous dilatational tracheostomy technique, describe the role of bronchoscopy as guidance for the procedure, and identify the available evidences comparing percutaneous dilatational tracheostomy to surgical tracheostomy.

摘要

几十年来，气管切开术的标准技术一直是开放式手术技术。然而，在过去20年中，经皮扩张气管切开术的应用有所增加，并已证明在重症患者中是一种可行且安全的手术。本报告的目的是回顾经皮扩张气管切开术技术，描述支气管镜检查在该手术中的指导作用，并确定比较经皮扩张气管切开术与手术气管切开术的现有证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/f671e5234ba3/trd-72-261-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/32d7f518868f/trd-72-261-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/cf47022f1c9f/trd-72-261-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/0c91c579b4bb/trd-72-261-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/6d163de7098e/trd-72-261-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/ce3c5bddf29b/trd-72-261-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/04e51f34a979/trd-72-261-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/760ef08c773f/trd-72-261-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/bb26fcef4ea3/trd-72-261-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/f64d414dab3c/trd-72-261-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/e90c591ff74c/trd-72-261-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/f671e5234ba3/trd-72-261-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/32d7f518868f/trd-72-261-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/cf47022f1c9f/trd-72-261-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/0c91c579b4bb/trd-72-261-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/6d163de7098e/trd-72-261-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/ce3c5bddf29b/trd-72-261-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/04e51f34a979/trd-72-261-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/760ef08c773f/trd-72-261-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/bb26fcef4ea3/trd-72-261-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/f64d414dab3c/trd-72-261-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/e90c591ff74c/trd-72-261-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff2/3510276/f671e5234ba3/trd-72-261-g011.jpg

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本文引用的文献

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Real-time ultrasound-guided percutaneous dilatational tracheostomy.实时超声引导下经皮扩张气管切开术
Crit Care. 2011;15(5):443. doi: 10.1186/cc10344. Epub 2011 Sep 16.
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J Oral Maxillofac Surg. 2012 Jan;70(1):74-82. doi: 10.1016/j.joms.2011.04.002. Epub 2011 Aug 5.
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Percutaneous tracheostomy: a 6 yr prospective evaluation of the single tapered dilator technique.经皮气管切开术：单斜面扩张器技术的 6 年前瞻性评估。
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Bedside ultrasound screening for pretracheal vascular structures may minimize the risks of percutaneous dilatational tracheostomy.床边超声筛查预气管血管结构可最大限度降低经皮扩张气管切开术的风险。
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Fiberoptic bronchoscopy-assisted percutaneous tracheostomy is safe in obese critically ill patients: a prospective and comparative study.纤维支气管镜辅助经皮气管切开术在肥胖危重症患者中是安全的：一项前瞻性对比研究。
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