颈部钝性创伤合并隐匿性气管损伤患者的急救护理  

Emergency nursing care of a patient with blunt neck trauma combined with con-cealed tracheal injury

作　　者：潘银芝 杨旻斐[1] 姚晓月 PAN Yinzhi;YANG Minfei;YAO Xiaoyue

机构地区：[1]浙江大学医学院附属第二医院急诊科,杭州市310052

出　　处：《中华急危重症护理杂志》2023年第5期433-435,共3页Chinese Journal of Emergency and Critical Care Nursing

摘　　要：总结1例颈部钝性创伤合并隐匿性气管损伤患者的急救护理体会。针对患者气道情况复杂,需迅速管理以确保气道安全的护理难点,采取动态评估气道,实施阶梯化呼吸支持管理;紧急床旁气管切开手术管理,包括术前物资准备、术中配合和术后护理。经过紧急救治和护理,患者病情稳定,转入ICU进一步治疗,入院第10天患者病情稳定出院。出院后随访2个月,情况良好。To summarize emergency nursing experience of a patient with blunt neck trauma combined with concealed tracheal injury.In view of the complex situation of the patient's airway and nurs-ing difficulties requiring rapid management to ensure airway safety,we adopted dynamic assessment of airway and implemented ladder management of respiratory support;implemented emergency tracheotomy operation management including preoperative material preparation,intraoperative cooperation and postoperative nursing.After emergency treatment and care,the patient's condition was stable,and transferred to the ICU for further treatment.On the 10th day of admission,the patient was stable and discharged.The patient was followed up for 2 months after discharge and was in good condition.

关 键 词：颈部损伤 气道管理 气管切开术 急症护理 

分 类 号：R473.6[医药卫生—护理学]