重型颅脑损伤、高血压脑出血气管切开术后直接除管326例  

Severe Head Injury, Hypertensive Intracerebral Hemorrhage after Tracheotomy Tube Directly in Addition to 326 Cases

作　　者：黄友基[1] 唐杰[1] 罗琴[1] 高怀畅[1] 

机构地区：[1]四川省凉山州第一人民医院神经外科,四川凉山州615000

出　　处：《华西医学》2009年第5期1069-1070,共2页West China Medical Journal

摘　　要：目的:探讨行气管切开术抢救成功的重型颅脑损伤及高血压脑出血患者直接除管的安全性和可行性。方法:在507监护仪行SPO2监测和严密观察下,不经过试阻管而直接将气管套管拔除。结果:本组除1例患者因带管时间长,切口周围气管内炎性肉芽生长而重新插管外,其余患者呼吸平稳,呼吸道通畅,无呼吸急促、呛咳、紫绀及SPO2降低。结论:此法避免了传统除管前试阻管的繁锁和由阻管而引起的多种不良反应,有临床实用价值。Objective： To discuss the security and feasibility of direct removeal of tracheotomy cannula with successful patient of severe traumatic brain injury （sTBI） or hypertensive intraeerebral hemorrhage （HICH）. Methods： With 507 patients under Monitor carry on SPO2 custody and rigorous observation, Don＇t pass by to try to clogged pipes but directly pluck up cannula. Results.. Except for one sufferer because of taking tube time long, around incision in the trachea growed inflammatory granuloma, so actualized intubatton over again. The others sufferers breathesed steady, respiratory tracts unobstructed, have no breathe rapidly, cough, cyanosis and SPO2 are reduced. Conclusion： This method avoided traditional complication which caused by try to clogged pipes before pluck up eannula and many kinds of bad reactions which caused by clogged pipes, there is clinical practical value.

关 键 词：重型颅脑损伤 高血压脑出血 气管切开术 直接除管法 

分 类 号：R651.14[医药卫生—外科学]