fa مقایسه دو روش تراکئوستومی جراحی و پرکوتانئوس در بیماران بخش مراقبتهای ویژه بیهوشی Anesthesiology پژوهشي Research <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: inter-ideograph" dir="rtl"><b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">زمینه و هدف</span></b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: در صورت نیاز به حمایت تنفسی طولانی مدت با تهویه مکانیکی با لوله نای، تراکئوستومی (</span><span dir="ltr"></span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span>(</span><span dir="ltr"><a href="mw:C11:tracheostomy"><span style="color: windowtext font-family: "Times New Roman","serif" font-size: 9pt text-decoration: none mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra" text-underline: none"><u>Tracheostomy</u></span></a></span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span> به یکی از دو روش پرکوتانئوس</span><span dir="ltr"></span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span>(PDT= Percutaneous Dilated Tracheostomy)</span><span dir="rtl"></span><span style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span> </span><span dir="ltr"></span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span><span style="mso-spacerun: yes"><font face="Times New Roman"> </font></span></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">و</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">جراحی انجام می شود.</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">این</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">مطالعه</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">به</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">مقایسه</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">این دو روش</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">پرداخته</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">است.</span><span lang="AR-SA" style="color: black font-family: "B Mitra" font-size: 12pt"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in -1.8pt 0pt -1.4pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">روش­ کار</span></b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">:</span><span lang="FA" style="color: black font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial"> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">در</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">این</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">مطالعه</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">گذشته نگر،</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">بیماران تراکئوستومی شده</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">از مهر 87 تا مهر</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>1390، در</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">بخش</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">های مراقبت</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">ویژه بیمارستان حضرت رسول اکرم (ص)</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">تهران،</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">در</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">دو</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">گروه تراکئوستومی</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">پرکوتانئوس و</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">گروه</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">تراکئوستومی جراحی مورد مقایسه</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">قرار</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">گرفتند.</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span><font size="2"><font face="B Mitra"><span style="mso-spacerun: yes"> </span>عوارض</font></font></span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">ناشی</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">از</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">آن</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">در</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">دو</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">روش مورد</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">مقایسه،</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">تجزیه</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">و</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">تحلیل</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">قرار</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">گرفت.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in -1.8pt 0pt -1.4pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">یافته­ها</span></b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: دراین مطالعه، خونریزی زودرس بعد از عمل در 11مورد (4/7%) دیده شد که درگروه </span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr">PDT</span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span><font size="2"><font face="B Mitra"><span style="mso-spacerun: yes"> </span>1 مورد (2/4%) و گروه جراحی 10 مورد (5/17%) مشاهده شد و تفاوت معنی دار بود. عفونت محل زخم در ده روز اول بعد از تراکئوستومی، در گروه </font></font></span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr">PDT</span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span> 1 مورد (2/4%) و در گروه<font size="2"><font face="B Mitra"><span style="mso-spacerun: yes"> </span>جراحی در 4مورد (7%) مشاهده شد که تفاوت معنی دار نبود (1=</font></font></span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr">p</span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>). آمفیزم (</span><a href="mw:C11:emphysema"><span style="color: windowtext font-family: "Times New Roman","serif" font-size: 9pt text-decoration: none mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra" text-underline: none" dir="ltr"><u>Emphysema</u></span></a><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>) زیرجلدی در گروه </span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr">PDT</span><span dir="rtl"></span><span style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span> <span lang="FA"><font face="B Mitra" size="2">در 2 مورد (3/8%) و در گروه جراحی در 1 مورد (7/1%) بود که تفاوت معنی دار نبود (2/0=</font></span></span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr">p</span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>). عوارض دیگر از جمله صدمه و پارگی به دیواره خلفی نای در دو گروه مشاهده نشد.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in -1.8pt 0pt -1.4pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">نتیجه­گیری</span></b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: تراکئوستومی </span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr">PDT</span><span dir="rtl"></span><span style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span> <span lang="FA"><font face="B Mitra" size="2">با توجه به عوارض کمتر و انجام در تخت بیمار در بخش مراقبت‌های ویژه می‌تواند روش جایگزین ایمن و مناسب برای تراکئوستومی جراحی باشد.</font></span></span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><o:p /></span></p><font face="Times New Roman" size="3"> </font> <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-autospace: text-justify: inter-ideograph mso-layout-grid-align: none"><font size="3"><b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA">Background</span></b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA">: Prolonged intubation and need to mechanical ventilation is an indication for tracheostomy. This procedure can be done, surgical or percutaneous. In this study, we compare surgical and percutaneous dilated tracheostomy.<o:p /></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal vertical-align: top text-justify: kashida text-kashida: 0%"><font size="3"><b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA">Methods:</span></b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA"> In this retrospective study, which was conducted in ICU wards of Rasool Akram Hospital from Mehr 1387 to Mehr 1390. We compared complication of tracheostomized patients in two groups.<o:p /></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal vertical-align: top text-justify: kashida text-kashida: 0%"><font size="3"><b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA">Results: </span></b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA">In this study, early postoperative bleeding, in 11 cases, 1case (4.2%) in PDT group and 10 cases (17.5%) in surgical group was shown (with a significant difference). Surgical site infection in 1 case, 2 cases (7.4%) in PDT group and 1 case (4.2%) in surgical group was shown (with a non-significant difference). Subcutaneous emphysema in 11 cases, 2 case (8.3%) in PDT group and 1 case (1.7%) in surgical group with a significant difference, was shown. Other complications such as tracheal posterior wall were not shown in both groups.<o:p /></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal vertical-align: top text-justify: kashida text-kashida: 0%"><font size="3"><b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA">Conclusion:</span></b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA"> Because of lower complications rate and bedside PDT doing, percutaneous tracheostomy is a safe and suitable alternative for surgical tracheostomy.<o:p /></span></font></p><font face="Times New Roman" size="3"> </font> تراکئوستومی، پرکوتانئوس، جراحی، عارضه. Tracheostomy, Percutaneous, Surgery, Complication. 29 33 http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1375&slc_lang=fa&sid=1 Shahram Seyfi شهرام سیفی 3900319475328460022510 3900319475328460022510 No Babol University of Medical Sciences دانشگاه علوم پزشکی بابل Valliollah Hassani ولی الله حسنی 3900319475328460022511 3900319475328460022511 No Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران Seyed Hamid-Reza Faiz سیدحمیدرضا فیض 3900319475328460022512 3900319475328460022512 No Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران Shahrbanoo Latifi شهربانو لطیفی 3900319475328460022513 3900319475328460022513 No Babol University of Medical Sciences دانشگاه علوم پزشکی بابل Mohammad Reza Hajiesmaeili محمدرضا حاجی اسماعیلی 3900319475328460022514 3900319475328460022514 Yes Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران Alireza Sedaghat علیرضا صداقت 3900319475328460022515 3900319475328460022515 No Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران Reza Soleimanirad رضا سلیمانی راد 3900319475328460022516 3900319475328460022516 No Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران