在创伤性脑损伤中进行气管切除术的审计
Ajaya Kumar Ayyappan Unnithan1
1Muthoot Hospital, Kozhencherry, Kerala India.
概括
在创伤性脑损伤患者的早期气管切除术可能会降低死亡率. 这项研究发现,早期气管切除术的死亡率较低,尽管神经学得分暂时恶化.
科学领域:
- 神经外科 神经外科
- 关键护理医学 关键护理医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 在创伤性脑损伤 (TBI) 患者中进行气管切除术的最佳时间仍在争论中.
- 潜在的好处包括更早的通风断奶和降低肺炎率.
- 人们担心在手术过程中内压力可能增加.
研究的目的:
- 审计TBI患者气管切除术的时间,益处和并发症.
- 分析十年 (2012-2021) 的TBI气管切除术的结果.
主要方法:
- 对34名经过气管切除术的创伤性脑损伤患者的回顾性分析.
- 收集有关手术时间,并发症和患者结果的数据.
- 死亡率的比较是基于气管切除术的时间.
主要成果:
- 大多数气管切除术 (24/34) 在入院后6-14天之间进行.
- 并发症包括格拉斯哥昏迷度数暂时下降 (3),出血 (2),小结节狭窄症 (1) 和气管皮管 (1).
- 早期气管切除术 (第一周) 与晚期手术相比 (16.67%) 的死亡率较低 (47%在第二周,37.5%在第三/第四周).
结论:
- 在TBI患者的气管切除术应尽快进行,在控制内压力后.
- 早期气管切除术显示死亡率有所降低.
- 在早期气管切除术后的一小部分患者中观察到暂时的神经评分恶化.
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