气管切开术后气道狭窄的原因分析及预防处置  

Cause analysis and prevention of airway stenosis after tracheotomy

作　　者：林爱国[1] 刘小波[1] 何程[1] 唐宏图[1] 周鸿伟[1] 魏厚禄[1] 杨晓勇[1] Lin Aiguo;Liu Xiaobo;He Cheng;Tang Hongtu;Zhou Hongwei;Wei Houlu;Yang Xiaoyong(Department of Neurosurgery,the First People's Hospital of Suining,Sichuan Province 629000)

机构地区：[1]四川省遂宁市第一人民医院神经外科,629000

出　　处：《中国社区医师》2018年第31期45-46,共2页Chinese Community Doctors

摘　　要：目的:探讨气管切开术后气道狭窄的原因以及应采取的预防处置措施。方法:回顾分析气管切开患者86例中气道狭窄24例的原因及预防处置措施。结果:86例气管切开患者中气道狭窄24例,其中严重肺部感染分泌物梗阻13例,痰痂梗阻8例,肉芽生长致气道狭窄3例。结论:气道狭窄是气管切开后长时间带管常见而又严重并发症之一,应予以高度重视,并采取必要的预防干预措施,改善患者预后,提高抢救率。Objective:To explore the causes of airway stenosis after tracheotomy and the preventive measures to be taken.Methods:We made a retrospective analysis of the causes,prevention and treatment of 24 cases of airway stenosis in 86 patients with tracheotomy.Results:There were 24 cases of airway stenosis in 86 patients with tracheotomy,of which severe pulmonary infection secretion obstruction in 13 cases,sputum scab obstruction in 8 cases,granulation growth caused by airway stenosis in 3 cases.Conclusion:Airway stenosis is one of the common and serious complications of tracheal tube after tracheotomy.It is necessary to attach great importance to it and take necessary preventive measures to improve the prognosis of patients.

关 键 词：气管切开术 气道狭窄 并发症 

分 类 号：R653[医药卫生—外科学]