各種經皮氣切術的比較

Comparison of Various Percutaneous Tracheostomy Methods

10.6200/TCMJ.2017.14.3.03

黃英哲(Ying-Che Huang)；曾梓維(Tzu-Wei Tseng)；洪鴻龍(Hung-Long Hung)

氣切術 ； 經皮氣切術 ； tracheostomy ； percutaneous tracheostomy

北市醫學雜誌

14卷3期（2017 / 09 / 30）

289 - 294

繁體中文

雖然相較於傳統氣切手術(surgical tracheostomy)，經皮氣切手術(percutaneous tracheostomy)是一個較新的方式。實際上，經皮氣切手術從1985年逐步被接受至今，算來也歷經近30年的時間。本文嘗試從歷史起源，到最常使用的經皮氣切術式，結合作者本身經驗，做一些初步介紹與比較，亦提醒讀者注意最新實證醫學氣切指引的重點。

Percutaneous tracheostomy is a relatively new method compared to surgical tracheostomy. Nevertheless, percutaneous tracheostomy has gradually been accepted over the 30 years since its initial development in 1985. This article introduces the historical origin of surgical tracheostomy and compares the four most widely used percutaneous methods . Key points of the new published tracheostomy guidelines are also reminded.