食管封堵在饱胃小儿气管异物手术中的应用和护理  

Application and nursing of esophageal closure on full stomach children with inhaled foreign bodies

作　　者：李莉[1] 李艳[1] 

机构地区：[1]武汉市妇女儿童医疗保健中心手术室,武汉430016

出　　处：《中国临床护理》2014年第4期320-321,共2页Chinese Clinical Nursing

摘　　要：目的探讨食管封堵在饱胃小儿气管异物手术中的应用效果。方法将2012年12月-2013年7月收治的饱胃气管异物患儿59例随机分为观察组30例和对照组29例。观察组术中用低压套囊气管导管封堵食管,对照组不予食管封堵。比较2组术后呕吐、咳嗽及肺部并发症发生情况。结果术后观察组呕吐、咳嗽、吸入性肺炎发生率明显低于对照组(P<0.05)。结论采用食管封堵是饱胃患儿气管异物取出术比较安全理想的方法,配合精心的护理,可保证术中患儿生命体征平稳,缩短手术时间,并减少术后并发症。Objective To investigate the effects of esophageal closure applied on full stomach children with inhaled foreign bodies .Methods From December 2012 to July 2013 ,59 foreign body aspiration children were randomly divided into observation group （n= 30） and control group （n=29） .The observation group was given esophageal closure ,while the control group was not given esophageal closure .The incurrence of vomiting ,cough and pulmonary complications between the two groups were compared .Results The incidence of vomiting ,cough and aspiration pneumonitis were lower than that in the control group（P〈0 .05） .Conclusion Esophageal closure is a relative safe technique applied in extration of inhaled foreign body for full stomach children ,which ensures stable vitals of the children ,shortens the time of the surgeries ,decreases the risk of post-operative complications .

关 键 词：食管封堵 饱胃 气管 异物 

分 类 号：R473.72[医药卫生—护理学]