Balkan M E, Ozdülger A, Tastepe I, Kaya S, Cetin G
Department of Thoracic Surgery, Atatürk Chest Diseases and Thoracic Surgery Centre, Ankara, Turkey.
Scand J Thorac Cardiovasc Surg. 1996;30(2):93-6. doi: 10.3109/14017439609107249.
In minitracheotomy, a relatively simple percutaneous technique for tracheal cannulation, a small-bore tube is inserted via the cricothyroid membrane to provide access to suction removal of excess secretion or aspirated material from the tracheobronchial tree. It allows efficient tracheobronchial toilet while preserving glottic function and avoiding the disadvantages of conventional tracheostomy and endotracheal intubation. The indications for minitracheotomy in 20 cases were excessive postoperative or postpneumonic secretion (14), difficulty with endotracheal suction (5) and acute airway obstruction (1). The only major complication was bleeding in one case. Minor bleeding occurred at the incision in two cases. The cannula was retained for 3-8 days and removal was followed by closure within 48 hours. There were no adverse laryngeal effects. Minitracheotomy was well tolerated by the patients and is a useful adjunct for removal of airway secretion and hospitalized patients.
在微创气管切开术中，这是一种相对简单的经皮气管插管技术，通过环甲膜插入一根细管，以便从气管支气管树中抽吸清除过多的分泌物或吸出物。它能在保持声门功能的同时高效地进行气管支气管清理，避免传统气管切开术和气管插管的弊端。20例微创气管切开术的适应证为术后或肺炎后分泌物过多（14例）、气管内吸引困难（5例）和急性气道梗阻（1例）。唯一的主要并发症是1例出血。2例在切口处出现轻微出血。插管保留3 - 8天，拔除后48小时内切口闭合。未出现不良喉部影响。患者对微创气管切开术耐受性良好，它是清除气道分泌物的一种有用辅助手段，适用于住院患者。
