高龄手术患者气管插管拔管后的并发症及防范措施  

Complications of elderly tracheal intubation patients after extubation and its preventive measures

作　　者：倪海芳[1] 秦晓云[1] 

机构地区：[1]江南大学附属医院手术室,江苏无锡214000

出　　处：《中西医结合护理（中英文）》2015年第4期83-85,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨高龄手术患者气管插管拔管后的并发症及护理防范措施。方法选取气管插管拔管后的年龄≥70岁的患者110例,观察患者术后气管插管拔管后的情况,对相应情况进行分析并采取相应的措施。结果本组中,呛咳患者19例(17.3%),咽喉疼痛患者28例(25.5%),拔管后低氧血症再插管的患者3例(2.7%),误吸患者7例(6.4%),气道痉挛患者4例(3.6%),高血压患者2例(1.8%),心脏骤停患者1例(0.9%)。结论气管插管拔管后患者易出现多种并发症,有效的护理措施能减少并发症的发生,改善患者的不良情况,值得在临床推广。Objective To explore complications extubation and its preventive measures. Methods A total with endotracheal intubation after extubation were selected, of elderly tracheal intubation patients after of 110 patients at age of 70 years or older the condition of postoperative tracheal intubation was observed, and corresponding measures were taken for different situations. Results There were 19 cases （ 17.3% ） with cough and choke, 28 patients （25.5%） with sore throat, 3 patients （2.7%） with re-intubation due to hypoxemia, 7 patients（6.4% ） with aspiration, 4 patients （3.6%） with airway spasm, 2 patients（ 1.8% ） with high blood pressure and 1 patient（0.9% ）with cardiac arrest. Conclusion Multiple complications after extubation for patients with endotracheal intubation may occur, effective nursing intervention can reduce the complication rates, and improve the patient＇s adverse situation, so it is worthy of popularizing in clinic.

关 键 词：气管插管 拔管 并发症 

分 类 号：R473.6[医药卫生—护理学]