吸入性呼吸道损伤行气管切开的预见性护理  

Foreseeing nursing of inhalation injury and trachectomy

作　　者：赵春玉 徐明臣 陈方焘 Zhao Chunyu, Xu Mingchen, Chen Fangtao. （ The municipal traditional chinese medi- cine hospital of Laixi, Shaadong 266600 China）

机构地区：莱西市中医医院,山东莱西266600

出　　处：《中国保健》2008年第25期856-857,共2页Chinese Health Care

摘　　要：目的：总结吸入性损伤病人实施气管切开的预见性护理经验，完善其护理措施。方法：对2004年1月～2007年6月收治的112例吸入性损伤病人，在确诊为吸入性损伤的初期，气管切开前、后，进行预见性护理，一旦发现病人有气管切开指征，在做好护理急救的同时及时报告医生。结果：112例患者中，10例重度吸入性损伤病人均在预见性护理信息提示下实施气管切开，轻度和中度病人未实行气管切开手术；本组除2例大面积烧伤（93％和96％TBSA）早期死亡外，其余均治愈。结论：吸入性损伤的主要治疗与护理原则在于保持呼吸道通畅和是否实施气管切开与何时切开，预见性护理可为临床诊断治疗提供重要信息，有效防止呼吸道堵塞和并发症的发生。Objective：To sum up the experience in nursing burning patients complicated by inhalation injury and to be subjected to trachectomy with foreseeing nursing measures, nethods：ll2 patients with inhalation injury were nursed by taking foreseeing measures at different stages, such as at the early stage after diagnosis, before and after trachectomy, once the indication of trachectomy emerged, treatment and nursing should be stated and the doctor should be informed timely. Results：Among the 112 cases, 10 cases had severe inhalation injury, under foreseeing nursing they were subjected to trachectomy as the indication of treacheotomy emerged, patients with moderate and slight inhalation injury did not receive the operation. All the patients were cured, except two patients with large burning area （93%, 96% TBSA）died at the early stage. Conclusion： The principle of nursing of inhalation injury is to keep the trachectomy should be perfomed. Forseeing nursing can provide important imformation to make the deci- sion and to prevent respiratory tract obstruction and other complications.

关 键 词：吸入性损伤 气管切开 预见性护理 

分 类 号：R473.6[医药卫生—护理学;医药卫生—临床医学]