CAJ | 학술논문

目的为了总结本院重症监护病房10岁以下小儿经口气管插管的抢救配合和护理经验.方法对104例需经口气管插管抢救的患儿,采取主要包括术前做好物品及药品的准备,特别要做好抢救药品的准备;术中协助摆放体位,正确给予镇静剂,迅速有效清除呼吸道分泌物,配合插管;插管成功后气管导管的有效固定,作好基础护理,及时吸痰,保持呼吸道清洁湿润及通畅,预防和减轻喉头水肿等.结果全部患儿用呼吸机平均机械通气时间为3.2d,icU 室平均住院时间4.6d,抢救成功80例(76.9%),转上级医院2例(1.9%),放弃治疗12例(11.6%),死亡10例(9.6%).结论密切观察病情变化、默契的医护配合是提高小儿插管的关键,术后的精心护理是防止意外脱管、提高了抢救成功率.
목적위료총결본원중증감호병방10세이하소인경구기관삽관적창구배합화호리경험.방법대104례수경구기관삽관창구적환인,채취주요포괄술전주호물품급약품적준비,특별요주호창구약품적준비;술중협조파방체위,정학급여진정제,신속유효청제호흡도분비물,배합삽관;삽관성공후기관도관적유효고정,작호기출호리,급시흡담,보지호흡도청길습윤급통창,예방화감경후두수종등.결과전부환인용호흡궤평균궤계통기시간위3.2d,icU 실평균주원시간4.6d,창구성공80례(76.9%),전상급의원2례(1.9%),방기치료12례(11.6%),사망10례(9.6%).결론밀절관찰병정변화、묵계적의호배합시제고소인삽관적관건,술후적정심호리시방지의외탈관、제고료창구성공솔.
Objective to summarize the hospital intensive care unit under the age of 10 pediatric orotracheal intubation res-cue co-ordination and nursing experience. Methods 104 patients required intubation rescue the children to take good items and pharmaceutical preparations in the preoperative preparation of rescue drugs,especially to do;placed postural assist in surgery, give sedatives correctly,quickly effectively clear respiratory secretions,with intubation;effectively fixed the endotracheal tube after intubation success and well-based care,suction time,to keep the respiratory tract clean and moist and smooth,prevention and mitigation of laryngeal edema. Results all patients with ventilator average duration of mechanical ventilation 3.2d,aver-age length of stay of the icU room 4.6d successful rescue of 80 cases(76.9%)were transferred to higher level hospitals in 2 cases(1.9%),to give up the treatment of 12 cases(11.6% ),10 cases(9.6%)died. Conclusion close observation of changes in condition,a tacit agreement on health care with the key to improve pediatric intubation,postoperative intensive care to prevent accidental detached,improve the success rate.