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微创气管造口术在成人严重烧伤治疗中的应用

The application of micro-wound trachea opening-producing technique in the treatment of serious adult burning injury

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【作者】 赵耀华张业龙田社民夏成德牛希华曹平狄海萍

【Author】 ZHAO Yao-hua,ZHANG Ye-long,TIAN She-min,XIA Cheng-de,NIU Xi-hua,CAO Ping,DI Hai-ping (Department of Burns,the First People’s Hospital of Zhengzhou,Zhengzhou 450004,China)

【机构】 河南省郑州市第一人民医院烧伤科河南省郑州市第一人民医院烧伤科 河南郑州450004河南郑州450004河南郑州450004

【摘要】 目的 :探索快速、简便、安全的气管造口技术。方法 :将成人烧伤面积大于 3 0 %或三度烧伤大于 10 %患者 65例 ,分为传统气管切开组 (A组 )和微创气管穿刺造口组 (B组 ) ,A组按传统外科气管切开法施术。B组进行微创气管穿刺造口术。结果 :微创气管穿刺造口术在手术时间、术中出血量、创口愈合时间等方面均优于传统外科气管切开术。结论 :微创气管穿刺造口术可作为大面积烧伤早期急救的常规方法之一。

【Abstract】 Objective: To explore the quickest,easiest and safest method of producing openings in the trachea.Methods: Divide 65 adult burn-sufferers of over 30% burn area or third degree burn of over 10% sufferers into two groups.Group A is called the standard surgical tracheotomy group,in which all of the sufferers are operated by this commonly used tracheotomy,while group B is called the micro-wound trachea opening-producing group,in which they are operated by micro-wound trachea opening-producing method.Results: Micro-wound trachea opening-producing techique is much better than the traditional surgical tracheotomy in many aspects,such as operating time,bleeding amount during the operation,wound-healing time.Conclusion:Micro-wound trachea opening-producing technique can be used as one of the common used method in healing sufferers of large-area burns.

【关键词】 微创气管穿刺造口
【Key words】 micro-woundtrachea punctureopening-producing
  • 【文献出处】 河南医学研究 ,Henan Medical Research , 编辑部邮箱 ,2004年01期
  • 【分类号】R644
  • 【下载频次】16
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