气管切开术在重症创伤患者救治中的应用

摘要

目的 探讨气管切开术在重症创伤患者救治中时间的选择.方法 收集我院2008年5月～2010年12月收治的200例严重创伤患者,按照ISS和GCS评分确定人工机械通气的时间.结果 术后并发症(出血、皮下气肿和气管狭窄)和病死率与气管切开的时间没有相关性,但气管切开时间越早,机械通气时间和ICU治疗时间越短(P<0.05).结论 早期机械通气能减少患者机械通气时间和ICU治疗时间,能有效的改善患者的预后,提高怠者生命治疗.%Qbjective To explore the time chosen of tracheostomy for patients with severe trauma. Methods We collected 200 patients with severe trauma from May 2008 to Dec. 2010, and the time of traeheostomy for patients with severe trauma was according to the ISS and GCS score. Results The complication of traeheostomy and mortality did not show significant association with the time of traeheostomy. The early of traeheostomy was, the short of duration of mechanical ventilation and duration of ICU treatment( P ＜ 0. 05 ). Conclusion The early use of traeheostomy could decrease the duration of mechanical ventilation and ICU treatment, and could effectively improve the prognosis of patients and quality of life.