气管切开术后拔管和瘘口修复方法的探讨  

The Discussion on Methods of Extubation and Reparation of Orificium Fistulae after Tracheotomy

作　　者：庞翠华[1] 

机构地区：[1]重庆市急救医疗中心神经内科,400014

出　　处：《中国医药指南》2010年第7期19-21,共3页Guide of China Medicine

摘　　要：目的探讨气管切开术后拔管和瘘口修复方法。方法分析22例气管切开术后拔管的体会。结果多数不经过试堵管采取直接拔管一次成功,仅见1例一次直接拔管失败;多数气管瘘口修复良好,仅1例瘘口修复欠佳。结论气管切开术后患者在条件许可时应尽早拔管,意识障碍不是绝对禁忌证。通常可直接拔管,瘘口采取渐进性封闭法,效果良好,值得推广应用。Objective The discussion on methods of extubation and reparation of orificium fistulae after tracheotomy. Method Experiences by analyzing twenty-two cases of tracheotomy. Result Most cases got success by means of one time direct extubation, not by means of tube obstruction. In the twenty-two cases of tracheotomy, only one case of direct extubation was failure; Most of tracheal fistula repair well, and one reparation case of orificium fistulae was not good enough. Conclusion If conditions are permitting, extubation should be taken as much as possible after tracheotomy. Moreover, patients with conscious disturbance are not absolute contraindication. The method of direct extubation and the method of gradual block of orificium fistulae have good effect. They are worth promoting.

关 键 词：气管切开 拔管 封闭 

分 类 号：R653[医药卫生—外科学]