摘要
目的探讨颈椎骨折病人气管切开的操作要点和时机。方法总结24例颈椎骨折病人行气管切开的病例资料。结果24例病人无1例出现脊髓损伤加重和其他严重的手术并发症,术后1个月拔管率83.3%。结论颈椎骨折行气管切开的病人通过术前准确的评估和术中仔细操作,可以有效预防手术并发症的发生,有手术适应证的病人应行气管切开术。
Objective To discuss the main operating points and indications of tracheotomy in patients with cervical spine fractur Methods Clinical data of 24 patients with cervical spine fracture who underwent tracheotomy were summarized. Results There were no aggravation of spinal cord injury and other severe operation complications. The extubating rate was 83. 3% one month after opemtiorL Coneimion Tracheotomy should be carried out as early as possible for patients with cervical spine fracture when it is indicated. Precise preoperative apprasisal and careful manipulation is important to orevent ooerative comtlications.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2006年第6期446-447,共2页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
颈椎/损伤
骨折
脊髓损伤
气管切开术
Cervlcal vertebra/inj, bone
Spinal cord injuries
Tracheotomy
作者简介
王宝东,男,博士研究生。
通讯作者:孙爱华,Email:JYLAHSLC@smmu.edu.com