Deng Z F, Zhu T, Ding Y J, Zhou C L, Kang Y, Qu J N, Hua Q Q, Xu Y
Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Department of Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Apr 15;55(0):E009. doi: 10.3760/cma.j.issn.1673-0860.2020.0009.
Todiscuss the the effects, indications and protective measures of tracheotomy for severe cases of 2019 novel corona virus disease(COVID-19)patients. A retrospectively analyze was conducted to explore the clinical data of ofCOVID-19 patients who received tracheotomy in February to March 2020,descriptive statistics were used to analyze the indication of tracheotomy, particularity of intraoperative treatment and protective measures. A total of 4 cases were included in this article, 3 cases were successfully operated, 1 case of postoperative incision continuous bleeding, there were not other complications and nosocomial infection among the medical staff.the patient's condition was relieved in different degrees after the operation, who remain hospitalized. Tracheotomy for severe cases of COVID-19 can achieve certain curative effect, but the occurrence of tracheotomy related complicationsand nosocomial infection should be effectively controlled, and the risk benefit ratio of tracheotomy should be carefully weighed before surgery.
探讨2019新型冠状病毒病（COVID-19）重症患者气管切开术的效果、适应证及防护措施。对2020年2月至3月接受气管切开术的COVID-19患者的临床资料进行回顾性分析，采用描述性统计分析气管切开术的适应证、术中处理特殊性及防护措施。本文共纳入4例，3例手术成功，1例术后切口持续出血，医护人员中未出现其他并发症及医院感染。术后患者病情均有不同程度缓解，仍住院治疗。COVID-19重症患者气管切开术可取得一定疗效，但应有效控制气管切开相关并发症及医院感染的发生，术前应仔细权衡气管切开术的风险效益比。
