Objective: To discuss the the effects, indications and protective measures of tracheotomy for severe cases of coronavirus disease 2019 (COVID-19) patients. Methods: A retrospectively analysis was conducted to explore the clinical data of COVID-19 patients who received tracheotomy in February to March 2020, and descriptive statistics were used to analyze the indication of tracheotomy, particularity of intraoperative treatment and protective measures. Results: A total of 4 cases were included in this article. All patients were successfully operated. One case had postoperative incision continuous bleeding, there were not other complications and nosocomial infection among the medical staff. The patient's condition was relieved in different degrees after the operation, who remained hospitalized. Conclusion: Tracheotomy for severe cases of COVID-19 can achieve certain curative effect, but the occurrence of tracheotomy related complications and nosocomial infection should be effectively controlled, and the risk benefit ratio of tracheotomy should be carefully weighed before surgery.
目的： 探讨新型冠状病毒肺炎危重型患者施行气管切开术的指征、术中处理的特殊性及防护措施。 方法： 回顾性分析我院2020年2—3月接受气管切开治疗的新型冠状病毒肺炎危重型患者的临床资料，采用描述性方法分析手术的指征、疗效、安全性及防护措施。 结果： 本组4例危重症患者手术过程顺利，术中呼吸及循环功能稳定。1例患者术后切口持续渗血，经碘仿纱条压迫出血停止，未发生其他并发症。术后患者病情得到不同程度缓解，所有患者仍在住院治疗。医务人员均未发生院内感染。 结论： 对新型冠状病毒肺炎危重型患者行气管切开术，能够获得一定的疗效，但需要有效控制气管切开术相关并发症及院内感染的发生，术前应仔细权衡气管切开术风险获益比。.
Keywords: COVID-19; Critical type; Protective measures; Surgical indications; Tracheostomy.