中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
z1期
7-8
,共2页
SICU%气管插管%并发症%防治
SICU%氣管插管%併髮癥%防治
SICU%기관삽관%병발증%방치
SICU%Intubation%Complications%Preventation and treatment
目的 探讨SICU病房内气管插管患者出现的并发症及防治措施.方法 对55例SICU气管插管患者进行回顾性分析.结果 该组有20例(36.4％)患者发生并发症,其中肺部感染13例(23.6％)、意外拔管3例(5.5％)、气道溃疡1例(1.8％)、气道食管瘘1例(1.8％)、导管阻塞1例(1.8％)、杓状软骨脱位1例(1.8％).结论 在SICU病房内气管插管并发症的发生是由于留置时间过长、创伤、气囊压力过大及局部感染等造成,给予充分的气道湿化、适当镇静、正确熟练的插管技术、尽早拔管或气管切开、适当的气囊压力、纤维支气管镜检查是防治的主要手段.
目的 探討SICU病房內氣管插管患者齣現的併髮癥及防治措施.方法 對55例SICU氣管插管患者進行迴顧性分析.結果 該組有20例(36.4％)患者髮生併髮癥,其中肺部感染13例(23.6％)、意外拔管3例(5.5％)、氣道潰瘍1例(1.8％)、氣道食管瘺1例(1.8％)、導管阻塞1例(1.8％)、杓狀軟骨脫位1例(1.8％).結論 在SICU病房內氣管插管併髮癥的髮生是由于留置時間過長、創傷、氣囊壓力過大及跼部感染等造成,給予充分的氣道濕化、適噹鎮靜、正確熟練的插管技術、儘早拔管或氣管切開、適噹的氣囊壓力、纖維支氣管鏡檢查是防治的主要手段.
목적 탐토SICU병방내기관삽관환자출현적병발증급방치조시.방법 대55례SICU기관삽관환자진행회고성분석.결과 해조유20례(36.4％)환자발생병발증,기중폐부감염13례(23.6％)、의외발관3례(5.5％)、기도궤양1례(1.8％)、기도식관루1례(1.8％)、도관조새1례(1.8％)、표상연골탈위1례(1.8％).결론 재SICU병방내기관삽관병발증적발생시유우류치시간과장、창상、기낭압력과대급국부감염등조성,급여충분적기도습화、괄당진정、정학숙련적삽관기술、진조발관혹기관절개、괄당적기낭압력、섬유지기관경검사시방치적주요수단.
Objective To discuss the clinical preventation and treatment of the complications induced by endotracheal intubation in SICU.Methods Retrospective analysis was used on 55 cases of intubated patients in our hospital nearly 2 years.Results The incidence of endotracheal intubation was 36.4％,pneumonia 23.6％,accidental extubation 5.5％,endotracheal ulcer 1.8％,tracheoesophageal fistula 1.8％,obstruction of tracheal catheter 1.8％,arytenoid dislocation 1.8％.Conclusion The causeof complications of endotracheal intubation in SICU were overtime intubation,tranma,excessive-pressure of the air cuff and local inflammation.Airway humidification,suitable sedation,accurate and moderate operation,extubation or tracheotomy,suitable cuff pressure and fiberoptic bronchoscopy examination could avoid such complications.
