Percutaneous dilational tracheostomy in severe brain injury experience of treatment.docVIP

 PAGE \* MERGEFORMAT 7 Percutaneous dilational tracheostomy in severe brain injury experience of treatment Of: Chen Qikang, Huangji Hui, Cai Hou Hong, Wu held, Shiu instrument, Li Wei, Li Chunyu [Abstract] of percutaneous dilational tracheostomy in 102 cases of severe head injury salvage therapy effect, with the percutaneous dilational tracheostomy in the emergency treatment of severe brain injury is a fast, safe and effective to improve Ventilation of patients and is worthy of promotion. [Keywords:] tracheotomy, brain injury, surgery Coma after severe brain injury sustained early tracheotomy is a preliminary to correct hypoxemia, increased lung and brain damage to prevent an important means of [1]. Our hospital in June 1996 ~ June 2006 to 102 cases of severe head injury, where the use of percutaneous dilational tracheostomy, received good results, are as follows. Clinical data 1 General Information of this group 102 patients, 73 males, 29 females, age 2l ~ 72 years, mean 38.3 years old. The causes of injury: road traffic injuries in 74 cases, 16 cases of fall injury, combat injury in 9 cases, the other 3 cases. One brain contusion and 53 cases of acute subdural hematoma, cerebral setback bifida complicated 28 cases of epidural hematoma, 12 cases of brain stem injury, axonal injury in 9 cases. admission GCS 3 ~ 5 minutes and 32 cases, 6 to 8 .91 cases of 70 patients divided line craniotomy hematoma decompression craniectomy. 2 surgical techniques of percutaneous dilational tracheostomy specific methods: Germany WillRuchAG produced percutaneous dilational tracheostomy package. The surgeon with the left hand to find the first 2 or 3 tracheal cartilage ring gap, with the food, the middle finger of fixed airway prevent move around. injection of local anesthetic drugs. longitudinal skin incision of about 1.5cm, with a trocar gap in the tracheal rings tilted to the lower extremity puncture the trachea, such as endotracheal intubation in patients