新型冠状病毒肺炎患者气管切开术的时机与临床结局
Timing and clinical outcomes of tracheostomy in patients with COVID-19.
作者信息
Ahn D, Lee G J, Choi Y S, Park J W, Kim J K, Kim E J, Lee Y H
机构信息
Department of Otolaryngology-Head and Neck Surgery, Kyungpook National University, Daegu, Korea.
Department of Otolaryngology-Head and Neck Surgery, Yeungnam University, Daegu, Korea.
出版信息
Br J Surg. 2021 Jan 27;108(1):e27-e28. doi: 10.1093/bjs/znaa064.
Abstract
In this retrospective multicentre cohort study that included 27 COVID-19 patients who underwent tracheostomy, the mean time between intubation and tracheostomy was 15.8 days and the negative conversion time of COVID-19 was 43.1 days. Eleven patients (40.7%) died of COVID-19 and the use of percutaneous dilatation tracheostomy was significantly associated with in-hospital death. Timely tracheostomy could be performed in COVID-19 patients, regardless of duration of intubation or positivity of COVID-19 test, with an open surgical tracheostomy as a preferable technique.
摘要
在这项回顾性多中心队列研究中，纳入了27例接受气管切开术的新冠肺炎患者，插管至气管切开术的平均时间为15.8天，新冠肺炎核酸转阴时间为43.1天。11例患者（40.7%）死于新冠肺炎，经皮扩张气管切开术的使用与院内死亡显著相关。新冠肺炎患者无论插管时间长短或新冠病毒检测结果如何，均可及时进行气管切开术，开放式外科气管切开术是更可取的技术。
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