在重症COVID19患者中,气管切除术时间和临床结果之间的关联
Nikzad Shahidi1, Ata Mahmoudpour2, Mehrdad Shahidi3
1Department of Otorhinolaryngology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Iranian journal of otorhinolaryngology
|January 9, 2026
概括
在COVID-19患者的早期气管切除术显著减少了机械通风总持续时间. 然而,气管切除术的时间不会影响术后通风或患者的生存率.
科学领域:
- 临界护理医学 临界护理医学
- 传染性疾病 传染性疾病
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 随着COVID-19的蔓延,全球医疗保健系统面临着巨大压力,严重病患者需要长时间的机械通风和呼吸道管理.
- 气管切除术是这种患者的常见手术,但在内内管管道输入后,其最佳时间仍然是临床辩论的主题.
研究的目的:
- 研究早期和晚期气管切除术对重症COVID-19患者机械通风持续时间和生存的影响.
- 分析人口统计数据,通风参数和基于气管切除术时间的生存率.
主要方法:
- 对62名COVID-19阳性患者进行回顾性研究,这些患者在ICU中接受了气管切除术.
- 患者被分为早期 (输管后<14天) 和晚期 (输管后≥14天) 气管切除组.
- 分析机械通风持续时间 (气管切开前后) 和生存率.
主要成果:
- 早期气管切除术在22.6%的患者中进行,晚期气管切除术在77.4%的患者中进行.
- 早期气管切除组的机械通风总持续时间 (39.36天) 与晚期组 (58.42天) 相比显著更短.
- 早期气管切除术的生存率为57.1%,晚期气管切除术的生存率为39.6%,尽管该研究得出结论,时间没有影响生存率.
结论:
- 在严重病情的COVID-19患者中,在输管后14天内进行气管切除术可显著减少机械通风的总持续时间.
- 气管切除术的时间没有显著影响手术后所需的通风时间或患者整体生存率.
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