CAJ | 학술논문

目的探讨行气管切开术后病人堵管的原因,并采取相应的预防措施,以减少气管切开术后堵管的发生率.方法回顾性分析2004年1月-2009年1月,经行气管切开术后发生堵管25例,通过湿化气道、适时吸痰,早期雾化吸入和改良吸氧,同时避免气囊套管长期过度充气,加强吸痰技术培训,早期发现管道堵塞的症状,及时处理半堵塞18例,全堵塞7例.结果均能及时发现管道堵塞现象,并给予相应对症处理,无一例因套管阻塞而引起死亡的病例.结论及早了解气管切开术后病人的病情,了解痰液的性质和量,给予早期湿化气道,适时吸痰和套管气囊适度充气,出现大出血者,立即做好手术准备等一系列预见性的护理措施,保持了呼吸道通畅,对减少病人术后气管套管堵塞有十分重要意义.
목적 탐토행기관절개술후병인도관적원인,병채취상응적예방조시,이감소기관절개술후도관적발생솔.방법 회고성분석2004년1월-2009년1월,경행기관절개술후발생도관25례,통과습화기도、괄시흡담,조기무화흡입화개량흡양,동시피면기낭투관장기과도충기,가강흡담기술배훈,조기발현관도도새적증상,급시처리반도새18례,전도새7례.결과 균능급시발현관도도새현상,병급여상응대증처리,무일례인투관조새이인기사망적병례.결론 급조료해기관절개술후병인적병정,료해담액적성질화량,급여조기습화기도,괄시흡담화투관기낭괄도충기,출현대출혈자,립즉주호수술준비등일계렬예견성적호리조시,보지료호흡도통창,대감소병인술후기관투관도새유십분중요의의.
Objective To probe into the causes of cannula blockage of patients after undergoing tra-chootomy in department SO as to minize the incidence of eannula blockage.Methods A tota 1 of 25 patients Ocurred cannula blockage after tracheotomy in 2005 to January 2009 were analyzed retrospectively.of patients undergoing tracheotomy patients.Among them, 18 cases developed half blockage and 7 cases developed complete blockage. And by humifying trachea, sputum aspiration, atomizing nebulization and modified oxygen inhalation, meanwhile, avoiding the tracheal trocar long term overinflation and strengthening sputum aspiration skills training, finding the manifestation of blockage in time, all these cases had been handled on time. Results All patients with cannulablockage were found in tim e. There were no dead cases because of corre spending treatment to keep respiratory tract unobstructed. Conclusions Itwas quite significant by conducting a series of predictive nursing measures to decrease postoperative cannula blockage, such as to understand the patient Scondition as soon as possible and the quantity and quality of sputumn SO as to humify trachea, sputum aspiration and doing aerocyst aeration early, tim ely and moderately; to prep-are operation wel 1 for hemorrhoea patients imm edi-ately.