山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (6): 43-44.doi: 10.6040/j.issn.1673-3770.0.2015.257

• 论著 • 上一篇    下一篇

气管切开术1063例中并发症的产生种类及原因分析

王俊喜1, 喻国冻2, 陈乾美2   

  1. 1. 潍坊医学院附属医院耳鼻咽喉科, 山东 潍坊 262617;
    2. 贵州医科大学附属医院耳鼻咽喉头颈外科, 贵州 贵阳 550004
  • 收稿日期:2015-06-26 出版日期:2015-12-16 发布日期:2015-12-16
  • 作者简介:王俊喜. E-mail:wangjunxisdl@163.com

Clinical analysis of sorts and causes of complications of tracheotomy: a report of 1,063 cases

WANG Junxi1, YU Guodong2, CHEN Qianmei2   

  1. 1. Department of Otolaryngology, Affiliated Hospital of Weifang Medical University, Weifang 262617, Shandong, China;
    2. Department of Otolaryngology & Head and Neck Surgery, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou, China
  • Received:2015-06-26 Online:2015-12-16 Published:2015-12-16

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摘要： 目的 探讨气管切开术后患者产生并发症的成因及防范措施.方法 回顾性分析1 063例行气管切开术的住院患者的病历资料,将其中有术后并发症的患者作为研究对象,总结原因.结果 1 063例气管切开并发症29例,发生率为2.73%,包括出血13例(1.22%),气管套管脱管 6例(0.56%),皮下气肿4例(0.38%),术中窒息2例(0.188%),纵膈气肿1例(0.094%),麻醉药物过敏1例(0.094%),气管食管裂伤1例(0.094%),死亡1例(0.094%),原因为术中产生气胸.结论 气管切开术患者并发症具有多样性,原因复杂.

关键词: 气管切开术, 急救, 机械通气, 并发症

Abstract: Objective To explore the causes of complications of tracheotomy and precautionary measures. Methods Clinical data of 1,063 patients who underwent tracheostomy were retrospectively reviewed. Results The overall rate of complication was 2.73%, including bleeding in 13 cases (1.22%), casing out in 6 cases (0.56), subcutaneous emphysema in 4 cases (0.38%), intraoperative suffocation in 2 cases (0.188%), pneumomediastinum in 1 case (0.094%), drug allergy in 1 case (0.094%), and tracheoesophageal laceration in 1 case (0.094%). One patient died during operation due to pneumothorax. Conclusion There are various sorts of complications of tracheotomy and the causes are complicated.

Key words: Mechanical ventilation, Emergency, Complications, Tracheotomy

中图分类号: 

  • R768.3
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