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目的总结经皮穿刺气管切开术(PDT)联合应用血凝酶和肾上腺素的疗效。方法将需行气管切开的患者随机分成两组,观察组行PDT,联合应用血凝酶和肾上腺素;对照组行开放性气管切开术(OT),比较两组的手术时间、术中出血量及切口愈合时间与并发症。结果 PDT组手术时间、术中出血量、切口愈合时间及并发症发生率均显著低于OT组。结论 PDT联合应用血凝酶和肾上腺素,与OT相比,安全、快捷、并发症少。
Objective To summarize the efficacy of percutaneous tracheotomy (PDT) combined with hemagglutinin and epinephrine. Methods Patients underwent tracheotomy were randomly divided into two groups. The observation group received PDT combined with hemagglutinin and epinephrine. The control group received open tracheotomy (OT). The operative time was compared between the two groups Bleeding volume and incision healing time and complications. Results The operation time, intraoperative blood loss, incision healing time and complication rate in PDT group were significantly lower than those in OT group. Conclusion PDT combined with hemagglutinin and epinephrine, compared with OT, safe, fast, less complications.