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open tracheostomy
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  气管切开术
     Objective To evaluate the clinical values of the PDT (percutaneous dilational tracheostomy) by comparing the PDT with the OT (open tracheostomy) in SICU patients.
     目的 通过比较开放性气管切开术 (OT)和经皮扩张气管切开术 (PDT)在 SICU的应用情况来评价PDT的临床应用价值。
短句来源
     OBJECTIVE To compare the infection of the open tracheostomy (OT) and the percutaneous dilational tracheostomy (PDT) in critical treatment for severe acute respiratory syndrome (SARS).
     目的 比较传统开放性气管切开术 (open tracheostom y,OT)与经皮扩张气管切开术 (percutaneous dila-tional tracheostomy,PDT)在严重急性呼吸综合征 (SARS)患者抢救中能否降低术者的感染机会。
短句来源
     Objective To discuss the value of PDA in the ward of neurosurgery by comparing the use of open tracheostomy(OT) and percutaneous dilational tracheostomy(PDA).
     目的 通过比较经皮扩张气管切开术 (PDT)和开放式气管切开术 (OT)在神经外科病房的应用情况来评定PDT的使用价值。
短句来源
     Objective:To evaluate the clinical values of percutaneous dilational tracheostomy(PDT)by studying and comparing the application of PDT and open tracheostomy(OT)in SCIU patients.
     目的:研究比较经皮扩张气管切开术(PDT)和常规的开放式气管切开术(OT)在SICU危重患者中的应用情况来评价PDT的临床价值。
短句来源
  开放式气管切开术
     Objective To discuss the value of PDA in the ward of neurosurgery by comparing the use of open tracheostomy(OT) and percutaneous dilational tracheostomy(PDA).
     目的 通过比较经皮扩张气管切开术 (PDT)和开放式气管切开术 (OT)在神经外科病房的应用情况来评定PDT的使用价值。
短句来源
     Objective:To evaluate the clinical values of percutaneous dilational tracheostomy(PDT)by studying and comparing the application of PDT and open tracheostomy(OT)in SCIU patients.
     目的:研究比较经皮扩张气管切开术(PDT)和常规的开放式气管切开术(OT)在SICU危重患者中的应用情况来评价PDT的临床价值。
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  open tracheostomy
Moreover, it is faster and can be done at a lower cost than conventional open tracheostomy.
      
They do not suffer the complication of crusting and obstruction that occurs regularly with any open tracheostomy tube.
      
He had undergone endoscopic dilatation of the trachea, but developed severe stridor ten days later and underwent urgent open tracheostomy.
      
Eleven of our patients had PDT converted to open tracheostomy, because of bleeding in seven and unfavourable anatomy in four.
      
A complication specific to the tracheostomy technique is the risk of airway fire with cautery use during open tracheostomy.
      


Objective To evaluate the clinical values of the PDT (percutaneous dilational tracheostomy) by comparing the PDT with the OT (open tracheostomy) in SICU patients.Methods A prospective non randomized study was undertaken to compare the frequency of complications,procedure related mortality rate and operation time of the PDT performed at the bedside with those of traditional OT from the time of tracheostomy to discharge.Results Incidence of complications in the PDT group was significantly lower...

Objective To evaluate the clinical values of the PDT (percutaneous dilational tracheostomy) by comparing the PDT with the OT (open tracheostomy) in SICU patients.Methods A prospective non randomized study was undertaken to compare the frequency of complications,procedure related mortality rate and operation time of the PDT performed at the bedside with those of traditional OT from the time of tracheostomy to discharge.Results Incidence of complications in the PDT group was significantly lower than the OT group.Procedure related mortality rate in the OT group was 1.1%,but no procedure related death in the PDT group.Mean operation time of the OT group was 23.8±12.9 minutes and that of the PDT group was 9.0±4.1 minutes.Mean operation time of the PDT group was significantly shorter than that of the OT group.Conclusions The PDT technique which can be performed in the bedside needs shorter operation time and with a significant lower mortality,compared to the OT technique.The PDT technique can be widely performed in surgical critically illed patients although its disposible package has higher price than OT.

目的 通过比较开放性气管切开术 (OT)和经皮扩张气管切开术 (PDT)在 SICU的应用情况来评价PDT的临床应用价值。方法 采取前瞻性随机性研究方法比较 PDT(Portex法 )组和 OT组在住院期间的并发症发生率、与操作相关的死亡率和操作时间。结果  PDT组的并发症发生率明显低于 OT组 (P<0 .0 5 )。 OT组与操作相关死亡率为 1.1% ,PDT组则没有与操作相关的死亡情况发生。 OT组平均操作时间为 2 3.8± 12 .9分钟 ,PDT组为 9.0± 4.1分钟 ,PDT操作时间明显比 OT短 (P<0 .0 1)。结论 经皮扩张气管切开术可在床边进行 ,操作时间短 ,并发症少 ,明显优于传统开放性气管切开术 ,尽管其一次性消耗费用较高 ,但依然在外科危重病人中有广泛的应用价值。

Objective To discuss the value of PDA in the ward of neurosurgery by comparing the use of open tracheostomy(OT) and percutaneous dilational tracheostomy(PDA).Methods A prospective non randomized study was performed to compare the incidence of complications and the procedure between Sep 2001 and Feb 2002.Results Based the authors research (31 cases) only one slight hemorrhage during the operation.The operation time of PDA from 2.5~10 minites is much lower than OT (11~42minites).Conclusions PDA...

Objective To discuss the value of PDA in the ward of neurosurgery by comparing the use of open tracheostomy(OT) and percutaneous dilational tracheostomy(PDA).Methods A prospective non randomized study was performed to compare the incidence of complications and the procedure between Sep 2001 and Feb 2002.Results Based the authors research (31 cases) only one slight hemorrhage during the operation.The operation time of PDA from 2.5~10 minites is much lower than OT (11~42minites).Conclusions PDA is found to be superior with respect to ease of performance and incidence of minor complications.It can be used to the patients of neurosurgury by neurosurgen.

目的 通过比较经皮扩张气管切开术 (PDT)和开放式气管切开术 (OT)在神经外科病房的应用情况来评定PDT的使用价值。方法 前瞻性研究方法比较PDT组和OT组神经外科外伤组住院期间的并发症发生率及操作时间 ,手术由同一医师组完成。结果 经皮气管切开是一项操作简单快速的操作技术。本组 31例中仅有 1例术中少量出血 ,操作时间为 2 .5~ 10 .0min ,平均 5 .2min ,低于常规气管切开组 (2 2例 ,11~ 4 2min ,平均 2 1.4min)。结论 经皮扩张气管切开操作简单快速 ,并发症少 ,可由神经外科医师自己完成 ,应该广泛应用于有条件的神经外科患者

OBJECTIVE To compare the infection of the open tracheostomy (OT) and the percutaneous dilational tracheostomy (PDT) in critical treatment for severe acute respiratory syndrome (SARS). METHODS By means of analysis of 5 cases of PDT and 3 cases of OT treatment from Apr to Jul 2003 to compare the operating time and the perioperative complication. Meanwhile the leakage of sputum from operation area was monitored. RESULTS Eight cases were successfully operated and no infection occurred. The average operating...

OBJECTIVE To compare the infection of the open tracheostomy (OT) and the percutaneous dilational tracheostomy (PDT) in critical treatment for severe acute respiratory syndrome (SARS). METHODS By means of analysis of 5 cases of PDT and 3 cases of OT treatment from Apr to Jul 2003 to compare the operating time and the perioperative complication. Meanwhile the leakage of sputum from operation area was monitored. RESULTS Eight cases were successfully operated and no infection occurred. The average operating time of PDT was 12 minutes. The shortest time to set up the airway was 7 minutes. The average operating time of OT was 38.7 minutes and the shortest time to set up airway was 31 minutes. There was no obvious leakage of sputum in the 5 PDT patients. In opposition, leakage of sputum was observed in OT treatment patients.CONCLUSIONS As a minimally invasive operation, PDT is easy to operate in comparison to OT. PDT greatly shortens the operating time and reduce the infection opportunity to medicare personnel.

目的 比较传统开放性气管切开术 (open tracheostom y,OT)与经皮扩张气管切开术 (percutaneous dila-tional tracheostomy,PDT)在严重急性呼吸综合征 (SARS)患者抢救中能否降低术者的感染机会。方法 通过回顾性分析 2 0 0 3年 4~ 7月间实施气管切开患者 PDT 5例、OT 3例 ,比较两种方法在 SARS危重患者中的手术操作时间 ,观察术后气管切开处漏痰情况。结果  8例手术均顺利完成 ,且无操作者感染 SARS,PDT平均操作时间12 min,最快建立气道 7m in;OT平均操作时间 38.7m in,最快建立气道 31m in;PDT 5例患者术后气管切开处均无明显漏痰现象 ;OT 3例患者术后气管切开处于术后 1、3、5、7d均有漏痰现象。结论  PDT作为一项微创手术与 OT比较手术操作简单 ,较 OT手术操作时间明显缩短 ,显著减少了操作者近距离暴露于 SARS患者面前的时间 ,且伤口出血少 ,无明显漏痰现象 ,减少了污染环境的机会 ,理论上讲可相对减少医护人员受感染机会 ,在需要做气管切开的 SARS危重患者中如无禁忌应采用 ...

目的 比较传统开放性气管切开术 (open tracheostom y,OT)与经皮扩张气管切开术 (percutaneous dila-tional tracheostomy,PDT)在严重急性呼吸综合征 (SARS)患者抢救中能否降低术者的感染机会。方法 通过回顾性分析 2 0 0 3年 4~ 7月间实施气管切开患者 PDT 5例、OT 3例 ,比较两种方法在 SARS危重患者中的手术操作时间 ,观察术后气管切开处漏痰情况。结果  8例手术均顺利完成 ,且无操作者感染 SARS,PDT平均操作时间12 min,最快建立气道 7m in;OT平均操作时间 38.7m in,最快建立气道 31m in;PDT 5例患者术后气管切开处均无明显漏痰现象 ;OT 3例患者术后气管切开处于术后 1、3、5、7d均有漏痰现象。结论  PDT作为一项微创手术与 OT比较手术操作简单 ,较 OT手术操作时间明显缩短 ,显著减少了操作者近距离暴露于 SARS患者面前的时间 ,且伤口出血少 ,无明显漏痰现象 ,减少了污染环境的机会 ,理论上讲可相对减少医护人员受感染机会 ,在需要做气管切开的 SARS危重患者中如无禁忌应采用 PDT。

 
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