Abstract
Objective To investigate the application value of Percutaneous dilatational tracheal incision in the treatment of critically ill patients.Methods 42 critically ill patients were divided into two groups according to the tracheotomy,Ⅰ group (22 cases) were given percutaneous dilatational tracheal incision,Ⅱ group (20 cases) were given the traditional tracheotomy,the operative time,intraoperat/ve and postoperative vital signs and bleeding were compared.Results The blood pressure of Ⅰ group were ( 102 ± 30)mmHg,heart rate ( 70 ± 30) beats/min,the operative time (8.2 ± 1.3 ) min,intraoperative blood loss ( 1.8 ± 0.2 ) ml,incision size (0.8 ± 0.1 ) cm,and Significantly lower than the Ⅱ group (140 ±45)mmHg,(95 ± 35) times/min,(18.6 ±3.6) min,(12.7 ±3.6)ml,(2.6 ±0.4)cm(t =-8.421,-7.338,-36.310,-38.220,-60.227,all P ＜0.05).the breathing frequency were( 18 ±4) times/min and (22 ±6) times/min,oxygen saturation were(91 ±8)％ and (85 ± 10)％,the catheter operation ≥ 2 were 4 cases and 3 cases,the subcutaneous emphysema were 0 cases and four cases,the incision infection were 1 case and 5 cases,there were no significant difference between two group(all P ＞ 0.05).Conclusion The percutaneous dilatational trachea incision has a simple,fast,small damage,have small impact of on the vital signs of patients,Conducive to the management of patients after tracheotomy. Key words: Tracheostomy; Critical care
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