CAJ | 학술논문

目的探讨有创机械通气患者气囊漏气的急救护理.方法对我院急诊科监护室2009年1月—2012年10月96例应用气管插管或气管切开机械通气患者发生气囊漏气现象的处理过程进行回顾性分析.结果96例气囊漏气患者中,68例气囊充气后48 h内未补气;10例气囊充气后24 h内未补气;12例气管切开置管过程中,血管钳扎破气囊;2例气管切开伤口过大,吸除气囊上滞留物时气囊被吸破;3例气管切开置管时,气囊被气管软骨组织扎破;1例护士做口腔护理时不慎剪掉外气囊.96例患者因被及时发现并得到及时处理而脱离了生命危险.结论监测气囊压力,及时发现气囊漏气,及时采取有效的急救措施是有创机械通气患者气囊护理的关键.
목적탐토유창궤계통기환자기낭루기적급구호리.방법대아원급진과감호실2009년1월—2012년10월96례응용기관삽관혹기관절개궤계통기환자발생기낭루기현상적처리과정진행회고성분석.결과96례기낭루기환자중,68례기낭충기후48 h내미보기;10례기낭충기후24 h내미보기;12례기관절개치관과정중,혈관겸찰파기낭;2례기관절개상구과대,흡제기낭상체류물시기낭피흡파;3례기관절개치관시,기낭피기관연골조직찰파;1례호사주구강호리시불신전도외기낭.96례환자인피급시발현병득도급시처리이탈리료생명위험.결론감측기낭압력,급시발현기낭루기,급시채취유효적급구조시시유창궤계통기환자기낭호리적관건.
@@@@Objective To investigate the emergency care of gasbag leakage to the patients with invasive mechanical ventilation. Methods By retrospective study of the 96 cases gasbag leakage and treatment with mechanical ventilation in emergency intensive care unit in the central hospital of Taian from January 2009 to October 2012.Results In 96 patients of gasbag leakage,there were 10 aerated gasbag cases without filling again in 24 hours,68 cases without filling again in 48 hours.12 cases gasbags were punctured by forceps in the tracheotomy proess.2 cases gasbags were sucked break when the secretions are sucked.3 cases gasbags were punctured by the tracheal cartilage in the tracheotomy proess.1 case gasbag was cut accidentally in the process of oral care.96 patients were out of danger because of timely detection and treatment.Conclusion Gasbag pressure monitoring,timely detection and treatment are the key of gasbag leakage nurse in invasive mechanical ventilation.