医学美学美容(中旬刊)
醫學美學美容(中旬刊)
의학미학미용(중순간)
Medical Aesthetics and Cosmetology
2013年
5期
1
,共1页
儿童%护理%气管切开术%并发症
兒童%護理%氣管切開術%併髮癥
인동%호리%기관절개술%병발증
Children%Nursing%T racheotomy%Complications
目的 总结小儿气管切开术后常见并发症的预防和护理特点.方法 通过对我院1992年1月至2012年1月我院33例小儿行气管切开术的临床资料,总结性分析其护理经验.结果 33例中23例原发病治愈后顺利拔管,5例小儿(包括复发性喉乳头状瘤患儿4例、喉结核1例)带管出院,5例因原发病及严重并发症死亡.并发症包括术中急性左心衰伴肺水肿4例,气胸及纵膈气肿2例,皮下气肿3例,术中窒息1例.结论 小儿气管切开术的并发症发生率高,有效的气道管理和加强护理在预防及治疗其并发症中起非常重要的作用.
目的 總結小兒氣管切開術後常見併髮癥的預防和護理特點.方法 通過對我院1992年1月至2012年1月我院33例小兒行氣管切開術的臨床資料,總結性分析其護理經驗.結果 33例中23例原髮病治愈後順利拔管,5例小兒(包括複髮性喉乳頭狀瘤患兒4例、喉結覈1例)帶管齣院,5例因原髮病及嚴重併髮癥死亡.併髮癥包括術中急性左心衰伴肺水腫4例,氣胸及縱膈氣腫2例,皮下氣腫3例,術中窒息1例.結論 小兒氣管切開術的併髮癥髮生率高,有效的氣道管理和加彊護理在預防及治療其併髮癥中起非常重要的作用.
목적 총결소인기관절개술후상견병발증적예방화호리특점.방법 통과대아원1992년1월지2012년1월아원33례소인행기관절개술적림상자료,총결성분석기호리경험.결과 33례중23례원발병치유후순리발관,5례소인(포괄복발성후유두상류환인4례、후결핵1례)대관출원,5례인원발병급엄중병발증사망.병발증포괄술중급성좌심쇠반폐수종4례,기흉급종격기종2례,피하기종3례,술중질식1례.결론 소인기관절개술적병발증발생솔고,유효적기도관리화가강호리재예방급치료기병발증중기비상중요적작용.
O bjectiveto summarize the prevention and nursing of complications after tracheotomy in children .M ethodsTo analyse the nursing ex‐perience of 33 cases of tracheotomy in children from Jan .1992 to Jan .2012 in our hospital .Results23 of these 33 cases were successfully de‐cannulated after their primary disease were cured ;5 cases (4 cases of recurrent laryngeal papilloma and 1 case of laryngeal tuberculosis ) were discharged with tracheotomy tube ;5 patients died of the primary disease or severe complications ;complications included intraoperative acute left heart failure with pulmonary edema in 4 cases ,pneumothorax and pneumomediastinum in 2 cases ,subcutaneous emphysema in 3 cases ,intraoperative asphyxia in 1 cases .ConclusionIncidence rate of complications in tracheostomy in children is high ;effective airway man‐agement and intensive nursing play an important role in the prevention and treatment of pediatric tracheostomy complications .
