中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2013年
12期
69-70
,共2页
气管食管瘘%加长型气管切开导管%机械通气
氣管食管瘺%加長型氣管切開導管%機械通氣
기관식관루%가장형기관절개도관%궤계통기
tracheoesophayeal fistula%lengthened tracheotomy tube%mechanical y ventilation
目的：评价加长型气管切开导管在气管食管瘘中的作用。方法：10例气管食管瘘接受机械通气的患者，置入自制加长型气管切开导管，观察换管前、换管后1h、24h的呼吸力学、氧合指数与循环变化。结果：换管后1h、换管后24h组气道阻力较换管前组下降，氧合指数升高。换管后24h组平均动脉压较换管前组降低。结论：气管食管瘘患者采用加长型气管切开导管，可以改善机械通气时的呼吸力学和氧合。
目的：評價加長型氣管切開導管在氣管食管瘺中的作用。方法：10例氣管食管瘺接受機械通氣的患者，置入自製加長型氣管切開導管，觀察換管前、換管後1h、24h的呼吸力學、氧閤指數與循環變化。結果：換管後1h、換管後24h組氣道阻力較換管前組下降，氧閤指數升高。換管後24h組平均動脈壓較換管前組降低。結論：氣管食管瘺患者採用加長型氣管切開導管，可以改善機械通氣時的呼吸力學和氧閤。
목적：평개가장형기관절개도관재기관식관루중적작용。방법：10례기관식관루접수궤계통기적환자，치입자제가장형기관절개도관，관찰환관전、환관후1h、24h적호흡역학、양합지수여순배변화。결과：환관후1h、환관후24h조기도조력교환관전조하강，양합지수승고。환관후24h조평균동맥압교환관전조강저。결론：기관식관루환자채용가장형기관절개도관，가이개선궤계통기시적호흡역학화양합。
Objective:To evaluate the effects of lengthened tracheotomy tube for the treatment of tracheoesophageal fistula (TEF). Methods:A self-paired trial was conducted in 10 patients with TEF. Respiratory mechanics, PaO2/FiO2 and hemodynamics before and after lengthened tracheotomy tube placement were measured and compaired.Result:The airway resistance at 1h and 24h after lengthened tracheotomy tube placement was significantly lower than before, and the PaO2/FiO2 was higher. The MAP at 24h after lengthened tracheotomy tube placement was significantly lower than before. Conclusion:The lengthened tracheotomy tube improved the respiratory mechanics and PaO2/FiO2 in TEF with mechanical y ventilation.
