van Heurn L W, van Geffen G J, Brink P R
Surgical Unit, De Wever Hospital, Heerlen, The Netherlands.
Eur J Surg. 1996 Jul;162(7):531-5.
To report our experience with percutaneous dilatational tracheostomy.
Retrospective study.
Teaching hospital. The Netherlands.
147 patients.
150 percutaneous dilatational tracheostomies, 95 (63%) for prolonged ventilation, 37 (25%) for pulmonary toilet, and 18 (12%) for upper airway obstruction.
Morbidity and mortality.
The success rate of the procedure was 99%. Operative complications occurred in 16 (11%) and were usually minor. During a total duration of cannulation of 5212 days four complications were recorded. Haemorrhage was the most common early complication (n = 14). Late complications (five to 53 months after decannulation) included tracheal stenosis (n = 1), tracheomalacia (n = 2), tracheocutaneous fistula (n = 2) and an ugly scar (n = 1).
Percutaneous dilatational tracheostomy is a simple, safe and cost effective technique for inserting a tracheal cannula.
报告我们经皮扩张气管切开术的经验。
回顾性研究。
荷兰的教学医院。
147例患者。
150例经皮扩张气管切开术，其中95例（63%）用于长期通气，37例（25%）用于肺部灌洗，18例（12%）用于上呼吸道梗阻。
发病率和死亡率。
该手术成功率为99%。16例（11%）发生手术并发症，通常较轻微。在总共5212天的插管期间，记录到4例并发症。出血是最常见的早期并发症（n = 14）。晚期并发症（拔管后5至53个月）包括气管狭窄（n = 1）、气管软化（n = 2）、气管皮肤瘘（n = 2）和瘢痕难看（n = 1）。
经皮扩张气管切开术是一种简单、安全且经济有效的气管插管插入技术。
