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 Jun 7;55(6):576-579. doi: 10.3760/cma.j.cn115330-20200305-00162.
To discuss the the effects, indications and protective measures of tracheotomy for severe cases of coronavirus disease 2019 (COVID-19) patients. A retrospectively analysis was conducted to explore the clinical data of COVID-19 patients who received tracheotomy in February to March 2020, and 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. All patients were successfully operated. One case had 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 remained hospitalized. Tracheotomy for severe cases of COVID-19 can achieve certain curative effect, but the occurrence of tracheotomy related complications and nosocomial infection should be effectively controlled, and the risk benefit ratio of tracheotomy should be carefully weighed before surgery.
探讨2019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。回顾性分析2020年2月至3月接受气管切开术的COVID-19患者的临床资料，采用描述性统计分析气管切开术的适应证、术中处理特点及防护措施。本文共纳入4例患者。所有患者手术均成功。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术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。
