21例非计划气管插管拔管再回纳的临床可行性探讨  

Investigation the Clinical Feasibility of 21 Cases of Unplanned Tracheal Intubation,Extubation and Reinjection

作　　者：钟毅[1] 杨小凤[1] 明州彦 

机构地区：[1]广西中医药大学第一附属医院,广西南宁530023

出　　处：《大众科技》2021年第10期99-102,共4页Popular Science & Technology

基　　金：广西中医药大学第一附属医院课题“中医康复操在AECOPD患者中的应用研究”(2019QN003)。

摘　　要：目的:探讨非计划气管插管拔管再回纳的临床可行性。方法:回顾分析2018年1月至2020年1月的21例非计划气管插管拔管患者,分析拔出长度>8 cm、拔出长度为6 cm~8 cm、拔出长度<6 cm的三组患者立即还纳、重新插管的处理情况。结果:拔出长度<6 cm立即回纳的成功率为100%;拔出长度为6 cm~8 cm的成功率为60%;拔出长度>8 cm的成功率为0。结论:气管插管拔出大于8 cm,则很可能已脱出声门的位置;小于6 cm时说明气管插管仍在声门以下,立即还纳后保持有效的通气是可行的。Objective:To explore the clinical feasibility of unplanned tracheal intubation,extubation and reinjection.Methods:21 patients with unplanned tracheal intubation and extubation from January 2018 to January 2020 were retrospectively analyzed.The treatment of immediate return and re-intubation in the three groups of patients with extraction length>8 cm,extraction length 6 cm~8 cm and extraction length<6 cm were analyzed.Results:The success rate of immediate retraction was 100%when the extraction length<6 cm;the success rate of pulling out the length of 6 cm~8 cm was 60%;the success rate of pulling out length>8 cm was 0.Conclusion:If the tracheal intubation is pulled out more than 8 cm,it is likely to have fallen out of the glottis;less than 6 cm indicates that the endotracheal intubation is still below the glottis,and it is feasible to maintain effective ventilation after immediate reinjection.

关 键 词：非计划气管插管拔管 再回纳 可行性 

分 类 号：R473[医药卫生—护理学]