中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2013年
6期
82
,共1页
呼吸道异物%支气管镜检%围手术期护理
呼吸道異物%支氣管鏡檢%圍手術期護理
호흡도이물%지기관경검%위수술기호리
Airway foreign body%Tracheotomy%Perioperative nursing
目的:探讨小儿危重呼吸道异物取出术的围手术期护理.方法:回顾性分析2010年1月-2012年10月笔者所在医院耳鼻咽喉科收治的92例危重患儿气管支气管异物的护理诊治过程.结果:静脉复合麻醉下91例患儿经硬支气管镜取出异物后痊愈,术中呼吸停止13例,因抢救及时无气管切开及死亡病例.结论:做好心理护理,严密观察病情动态变化,完善术前准备,保持气道通畅,注意并发症的发生,是危重呼吸道异物治疗成功的重要保证.
目的:探討小兒危重呼吸道異物取齣術的圍手術期護理.方法:迴顧性分析2010年1月-2012年10月筆者所在醫院耳鼻嚥喉科收治的92例危重患兒氣管支氣管異物的護理診治過程.結果:靜脈複閤痳醉下91例患兒經硬支氣管鏡取齣異物後痊愈,術中呼吸停止13例,因搶救及時無氣管切開及死亡病例.結論:做好心理護理,嚴密觀察病情動態變化,完善術前準備,保持氣道通暢,註意併髮癥的髮生,是危重呼吸道異物治療成功的重要保證.
목적:탐토소인위중호흡도이물취출술적위수술기호리.방법:회고성분석2010년1월-2012년10월필자소재의원이비인후과수치적92례위중환인기관지기관이물적호리진치과정.결과:정맥복합마취하91례환인경경지기관경취출이물후전유,술중호흡정지13례,인창구급시무기관절개급사망병례.결론:주호심리호리,엄밀관찰병정동태변화,완선술전준비,보지기도통창,주의병발증적발생,시위중호흡도이물치료성공적중요보증.
Objective:To investigate the diagnosis and treatment of serious pediatric foreign bodies in respiratory tract.Methods:92 cases with serious foreign bodies in respiratory tract were analyzed retrospectively,which were collected from department of otolaryngology in Zhengzhou children’s hospital from January 2010 to October 2012.Results:Under total intravenous anesthesia the authors took out foreign bodies by bronchoscope in 91 cases,13 cases had apnea during operation and no tracheotomy and dead case due to effective therapy methods.Conclusion:The ensurance of successful treatment of serious airway foreign body depends on the following:reasonable psychological care strict observation of dynamic changes of the patients,improved perioperative preparation, maintainence of ventilation of airway,and taking precautions against complications.
