10例气管插管并发呼吸道梗阻原因分析及护理对策  

The Reasons and Nursing Strategies for Respiratory Tract Obstruction in Patients with Tracheotomy

作　　者：梁洪球[1] 吴温玉[1] 林柳[1] 

机构地区：[1]广东省湛江中心人民医院心内一科,524037

出　　处：《齐齐哈尔医学院学报》2005年第7期823-824,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨气管插管并发呼吸道梗阻的原因及护理对策,提高气管插管病人的抢救成功率。方法回顾性分析近5年来我院10例气管插管并发呼吸道梗阻患者的临床资料。结果气道湿化不够及有效排痰不足易导致呼吸道梗阻;病人因素有误吸、严重肺部感染、痰液较多及无咳嗽反射的病人易发生呼吸道梗阻。结论对有误吸、严重肺部感染、痰液较多及无咳嗽反射等高危患者,充分湿化气道及有效促进排痰是预防气管插管并发呼吸道梗阻的有效措施。Objective To explore the reasons and nursing strategies for respiratory tract obstruction in patients with tracheotomy and improving the cure rate. Methods Analyze the data of 10 patients with tracheotomy complicated respiratory tract obstruction in recent 5 years. Results Insufficiency of humidification to respiratory tract and excluding sputum was prone to causing respiratory tract obstruction.The patients with misinhalation, severe lung infection, overfull sputum and cough-reflex insufficiency were also prone to respiratory tract obstruction. Conclusions Among the dangerous patients with miainhalation, severe lung infection, overfull sputum and cough-reflex insufficiency, humidification to respiratory tract and effectively excluding sputum are effective measures to prevent respiratory tract obstruction in patients with tracheotomy.

关 键 词：气管插管 并发症 呼吸道梗阻 原因分析 护理 

分 类 号：R472[医药卫生—护理学]