地震伤员气管切开后早期拔管的护理实践  

Nursing practice for early extubation after tracheostomy of earthquake victims

作　　者：兰旭红 郭龙飞 汤雪梅 张丽琴 傅彩虹[2] 彭彩丽[3] 郑小明 蒋由飞 张志刚[5] 周红芳 LAN Xuhong;GUO Longfei;PENG Caili;JIANG Youfei;TANG Xuemei;ZHANG Liqin;FU Caihong;ZHENG Xiaom ing;ZHOU Hongfang;ZHANG Zhigang

机构地区：[1]甘肃省人民医院重症医学科一病区,兰州市730000 [2]甘肃省人民医院重症医学科二病区,兰州市730000 [3]甘肃省人民医院重症医学科血管外科,兰州市730000 [4]甘肃省人民医院重症医学科创伤骨科,兰州市730000 [5]兰州大学第一医院重症医学科 [6]兰州大学护理学院

出　　处：《中华急危重症护理杂志》2024年第9期837-839,共3页Chinese Journal of Emergency and Critical Care Nursing

基　　金：甘肃省科技计划项目(23JRRA1286);甘肃省卫生健康行业科研计划(GSWSHL2021-010);甘肃省青年科技基金(22JR11RA250)。

摘　　要：总结甘肃省积石山县4例呼吸道梗阻地震伤员气管切开后早期拔管的护理经验。拔管前科学气道湿化、精细气囊管理、早期佩戴说话瓣膜;拔管时全面评估堵管风险、循序渐进堵管试验、多学科实施拔管;拔管后序贯通气过渡。4例患者经过22~26 d规范诊疗和精心护理,康复出院。出院2个月随访,均恢复良好。To summarize the nursing experience of early extuation after tracheostomy in 4 cases of earthquake casualties with respiratory obstruction in Jishishan County,Gansu Province.Scientific airway humidification before extubation,fine balloon management,early wearing of speech valve were implemented.During extubation,the risk of extubation should be evaluated comprehensively,the extubation test should be carried out step by step and multi-disciplinary extubation was carried out.Sequential ventilation transition was provided after extubation.After 22-26 days of standardized diagnosis and treatment and meticulous nursing,the 4 patients were discharged from the hospital,and all of them recovered well during 2 months of follow-up.

关 键 词：地震 气管切开术 拔管 危重病护理 

分 类 号：R473[医药卫生—护理学]