7例经皮扩张气管切开术后气囊破裂的观察与护理  

Observation and nursing of cuff-balloon rupture during percutaneous dilatational tracheostomy in 7 patiens

作　　者：黄莺[1] 

机构地区：[1]浙江大学医学院附属第一医院ICU,杭州市310003

出　　处：《中华护理杂志》2012年第3期227-228,共2页Chinese Journal of Nursing

摘　　要：总结了7例经皮扩张气管切开术后发生气囊破裂的观察与护理。本组1例为外气囊破裂,6例为内气囊破裂,其中1例先后2次发生内气囊破裂。对内气囊破裂者,及时配合医生更换气管套管;对外气囊破裂者,将破裂的外气囊剪下,用一次性头皮针管连接一个完好的气囊进行替换。本组经积极处理后,均未对患者造成不利影响。认为术后应直接将气囊测压表连接气囊持续测压2h,一旦发现气囊破裂,应首先判断气囊破裂的位置,及时正确处理,保障患者顺利康复。This paper summarizes the nursing experience of cuff-balloon rupture during percutaneous dilatational tracheostomy in 7 patiens. Among the 7 cases,a patient underwent external balloon rupture and the others underwent endotracheal cuff rupture. For patients with endotracheal cuff rupture ,nursing care focused on proper cooperation with doctors to change the en- dotracheal tubes. For the patient with external balloon rupture ,the key points were to cut down the ruptured balloon and con- nect an integrated balloon with a disposable scalp infusion tube. It is suggested to connect a pressure gauge with the balloon to monitor the pressures for 2 hours after operation. Once balloon rupture is detected,nurses should identify the rupture posi- tion and deal with it correctly and timely to promote the patients＇ recovery.

关 键 词：插管法 气管内 经皮扩张气管切开术 护理 

分 类 号：R472[医药卫生—护理学]