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

PDF (PC)

1070

被引次数

7

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
[1] Griffiths J, Barber V S, Morgan L, et al. Systematic review and metaanalysis of studies of the timing of the tracheostomy in adult patients undergoing artificial ventilation[J]. BMJ, 2005, 330(7502):1243.
[2] Esteban A, Anzueto A, Alía I, et al. How is mechanical ventilation employed in the intensive care unit? An international utilization review[J]. Am J Respir Crit Care Med, 2000, 161(5):1450-1458.
[3] Frutos-Vivar F, Esteban A, Apezteguía C, et al. International Mechanical Ventilation Study Group: Outcome of mechanically ventilated patients who require a tracheostomy[J]. Crit Care Med, 2005, 33(2):290-298.
[4] Kollef M H, Ahrens T S, Shannon W. Clinical predictors and outcomes for patients requiring tracheostomy in the intensive care unit [J]. Crit Care Med, 1999, 27(9): 1714-1720.
[5] Fischler L, Erhart S, Kleger G R, et al. Prevalence of tracheostomy in ICU patients. A nation-wide survey in Switzerland [J]. Intensive Care Med, 2000, 26(10): 1428-1433.
[6] Gillespie M B, Eisele D W. Outcomes of emergency surgical airway procedures in a hospital-wide setting [J]. Laryngoscope, 1999, 109(11):1766-1769.
[7] Yaghoobi S, Kayalha H, Ghafouri R, et al. Comparison of complications in percutaneous dilatational tracheostomy versus surgical tracheostomy[J]. Glob J Health Sci, 2014, 6(4):221-225.
[8] Villwock J A, Jones K. Outcomes of early versus late tracheostomy: 2008-2010 [J]. Laryngoscope, 2014, 124(8):1801-1806.
[9] García-Urabayen D, López-Fernández Y M, Pilar-Orive J, et al. Analysis of tracheostom ies in a pediatric intensive care unit during the period 2003-2013 [J]. An Pediatr (Barc), 2015, pii:S1695-4033(15)00096-X. doi:10.1016.
[10] Song J J, Choi I J, Chang H, et al. Pediatric tracheostomy revisited: A nine-year experience using horizontal intercartilaginous incision[J]. Laryngoscope, 2014, 125(2):485-492.
[11] Shah R K, Lander L, Berry J G, et al. Tracheotomy outcomes and complications: a national perspective[J]. Laryngoscope, 2012, 122(1):25-29.
[12] 王俊喜, 喻国冻, 陈乾美. 气管切开术中窒息2例[J]. 山东大学耳鼻喉眼学报, 2007, 21(6):553. WANG Junxi, YU Guodong, CHEN Qianmei. 2 cases were intraoperative suffocation during tracheotomy[J]. J Otolaryngol Ophthalmol Shandong Univ, 2007, 21(6):553.
[1] 卢朝阳, 翟兆雪, 王慧康, 邵丽婷, 张宇. 新冠肺炎治疗引发糖尿病酮症酸中毒合并鼻眶脑型毛霉菌病1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 90-94.
[2] 王华,张丰珍,龙婷,赵靖,李宏彬,王生才,王桂香. 后颅窝肿瘤术后儿童气管切开原因及预后转归分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(4): 168-173.
[3] 马馨,董凌康,吴红敏,易红良,邹建银. 外展悬吊缝合技术在阻塞性睡眠呼吸暂停治疗中的改良及应用进展[J]. 山东大学耳鼻喉眼学报, 2025, 39(3): 81-88.
[4] 李辉,赵永强,贺祯,杨惠敏,赵叶,田秀娟,陈剑秋. 下颌提拉平卧位下床旁老年患者经皮扩张气管切开的安全性探讨[J]. 山东大学耳鼻喉眼学报, 2025, 39(2): 87-93.
[5] 刘萍,顾子君,储婷,陈曦,程雷. 高流量呼吸湿化治疗仪在喉癌术后人工气道非机械通气患者中的应用效果研究[J]. 山东大学耳鼻喉眼学报, 2024, 38(5): 31-36.
[6] 马莉,高瞻,李鹏起,倪前伟. 鼻眶筛并发颧骨骨折伴发症解剖研究现状[J]. 山东大学耳鼻喉眼学报, 2024, 38(5): 126-130.
[7] 李浩,杨丽媛,张守凯. 鼻窦药物缓释支架在难治性鼻窦炎中的短期临床观察[J]. 山东大学耳鼻喉眼学报, 2024, 38(3): 38-42.
[8] 鲁欢,何本超,廖红明. 儿童急性鼻窦炎合并眶眼蜂窝织炎并发颅内感染1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(1): 46-50.
[9] 张静,朱国臣. 粪肠球菌致甲状软骨破坏的喉脓肿1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(5): 80-84.
[10] 岳涛,庄大勇,周鹏,李小磊,徐婧,朱见,贺青卿. 达芬奇机器人甲状腺手术中气管损伤并发症4例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(3): 46-50.
[11] 柴丽娜,雷春燕,高昇,张美霞. 孤立先天性视网膜动静脉畸形合并玻璃体出血和内界膜下出血1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(2): 67-70.
[12] 栾国刚,谌金金,严涛. 两种自制简易装置取出玻璃体硅油的方法[J]. 山东大学耳鼻喉眼学报, 2023, 37(1): 80-84.
[13] 董曙光,郭凤飞,孟旭霞,颜世龙. 早期开展飞秒激光辅助白内障超声乳化手术前囊膜撕裂原因的回顾性分析[J]. 山东大学耳鼻喉眼学报, 2023, 37(1): 110-114.
[14] 冯燚源,杨晶,杨洪斌. 220例颈深间隙感染临床分析[J]. 山东大学耳鼻喉眼学报, 2022, 36(2): 51-57.
[15] 李莹. 重视角膜屈光手术操作规范及并发症防治[J]. 山东大学耳鼻喉眼学报, 2021, 35(6): 1-6.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
网站版权所有 © 2018 《山东大学耳鼻喉眼学报》编辑部　
地址：山东省济南市山大南路27号（250100）电话：+86-0531-88366912 E-mail: ebhxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发