Buckels N J, Khan Z H, Irwin S T, Gibbons J R
Department of Cardio-Thoracic Surgery, Royal Victoria Hospital, Belfast.
Br J Clin Pract. 1990 May;44(5):169-71.
Cricothyroidotomy, using the percutaneous 'minitracheotomy' technique, was performed in 67 patients (55 for sputum retention, two for endobronchial rupture of an empyema, 10 prophylactically). In two patients the cricothyroid membrane was penetrated with considerable difficulty, and in one further patient insertion was not possible due to calcification of the cricothyroid membrane. One patient required exploration of the insertion site because of bleeding. Two patients inhaled the 'Mark 1 Minitrach' device and required urgent bronchoscopic removal. In those patients undergoing successful cricothyroidotomy, there was a dramatic improvement in respiratory distress. There were no deaths related to the insertion of the minitracheotomy device in this series.
采用经皮“迷你气管切开术”技术对67例患者实施环甲膜切开术（55例用于痰液潴留，2例用于脓胸支气管内破裂，10例为预防性手术）。2例患者穿透环甲膜时遇到相当大的困难，另有1例患者因环甲膜钙化无法进行置入。1例患者因出血需要探查置入部位。2例患者吸入了“Mark 1 Minitrach”装置，需要紧急通过支气管镜取出。在成功实施环甲膜切开术的患者中，呼吸窘迫症状有显著改善。本系列中无因迷你气管切开装置置入导致的死亡病例。
