重症脑损伤患者气管切开导管拔管研究进展  

Research progress on tracheotomy and extubation of tracheal tube in patients with severe acute brain injury

作　　者：华小锋 莫圣龙 简崇东[1] HUA Xiaofeng;MO Shenglong;JIAN Chongdong(Department of Neurology,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;Graduate School,Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)

机构地区：[1]右江民族医学院附属医院神经内科,广西百色533000 [2]右江民族医学院研究生学院,广西百色533000

出　　处：《右江医学》2024年第8期673-679,共7页Chinese Youjiang Medical Journal

基　　金：国家自然科学基金(81860244);广西自然科学基金(2018GXNSFAA281051,2020GXNSFAA259057);广西研究生教育创新计划项目(YCSW2023494)。

摘　　要：气管切开导管的留置是急危重症患者度过危险期常用的临床救治措施之一。病情稳定后及时拔除气管切开导管直接影响患者的病情康复进程。文章从重症脑损伤(SABI)患者的气管切开导管拔管的临床意义、临床共识、影响因素、气道通畅性评估方法、拔管要点等五个方面,结合国内外相关文献研究进行归纳,以期为临床安全拔除气管切开导管、提高拔管成功率提供参考依据,以利于促进患者病情恢复,减少医患纠纷。The indwelling of tracheostomy tube is one of the commonly used clinical treatment measures for critically ill patients to pass through critical period.Timely removal of the tracheostomy tube after the condition is stable directly affects the rehabilitation process of the patients.This article summarizes the clinical significance,clinical consensus,influencing factors,airway patency evaluation methods,and extubation points of tracheotomy and catheterization in patients with severe acute brain injury(SABI)from five aspects,and combines with relevant literature research at home and abroad,so as to provide reference for the safe removal of tracheostomy tube in clinical practice and improve the success rate of tube removal,and thus to promote patient recovery and reduce medical disputes.

关 键 词：重症脑损伤 气管切开 拔管 影响因素 

分 类 号：R651.15[医药卫生—外科学]