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气管切开术的外科手术审计

A Surgical Audit of Tracheostomy.

作者信息

Gaware Supriya Goroba, Babu Manu S

机构信息

Government Medical College, Aurangabad, Maharashtra India.

Goa, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):1491-1497. doi: 10.1007/s12070-023-04308-w. Epub 2023 Nov 27.

DOI:10.1007/s12070-023-04308-w
PMID:38566708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10982142/
Abstract

To study the magnitude of tracheostomy, its various indications and complications. Prospective Observational Study. A Prospective Observational study was carried out on 640 patients with various indications of tracheostomy admitted in ENT or referred from other departments for tracheostomy from July 2015 to March 2022. The epidemiological data regarding their age, sex, symptoms, indication and complications of tracheostomy were recorded. Necessary interventions were done as and when required. Patients ranged from 6 months to 86 yrs. Assisted ventilation was the most common indications for tracheostomy (68.125%, n = 436). The most common complication was subcutaneous emphysema (10.625%, n = 68) followed by tube displacement (5.625%, n = 36. The complication rate was 21.25% and the mortality rate 4.375% (n = 28) with specific mortality rate 0.625% (n = 4). Tracheostomy is one of the commonest surgeries. Data was collected from this study on the various indications of tracheostomy, the epidemiological factors and various complications associated with tracheostomy. Such a data is useful to learn from the mistakes and carry forward the virtouosity.

摘要

研究气管切开术的规模、各种适应证及并发症。前瞻性观察性研究。对2015年7月至2022年3月期间因各种气管切开术适应证入住耳鼻喉科或从其他科室转诊来行气管切开术的640例患者进行了前瞻性观察性研究。记录了他们的年龄、性别、症状、气管切开术的适应证及并发症等流行病学数据。根据需要进行了必要的干预。患者年龄从6个月至86岁不等。辅助通气是气管切开术最常见的适应证(68.125%,n = 436)。最常见的并发症是皮下气肿(10.625%,n = 68),其次是导管移位(5.625%,n = 36)。并发症发生率为21.25%,死亡率为4.375%(n = 28),特定死亡率为0.625%(n = 4)。气管切开术是最常见的手术之一。本研究收集了有关气管切开术的各种适应证、流行病学因素及与气管切开术相关的各种并发症的数据。这样的数据有助于从错误中吸取教训并发扬优点。

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A Surgical Audit of Tracheostomy.气管切开术的外科手术审计
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