复杂颅颈交界区畸形伴困难气道的围手术期护理  

Perioperative nursing of complex cranio-cervical junction deformities accompanied by difficult airways

作　　者：王颐 鲜继淑 WANG Yi;XIAN Ji-shu(Department of Neurosurgery,The First Affiliated Hospital of Army Medical University,Chongqing 400038,China)

机构地区：[1]陆军军医大学第一附属医院神经外科,重庆400038

出　　处：《中国临床神经外科杂志》2024年第11期679-681,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的 探讨复杂颅颈交界区畸形伴困难气道病人的围手术期护理。方法 总结1例复杂颅颈交界区畸形伴困难气道的围手术期护理体会,护理要点包括:基于3D模型的气道风险评估、建立气道护理团队制定护理方案、术前改善肺通气、口腔卫生护理、术后程序化撤机拔管、闭环式肺康复训练及吞咽评估训练。结果 经过积极治疗及个体化精细护理,顺利康复出院,出院时可携带颈托正常活动,无呼吸道相关症状。结论 复杂颅颈交界区畸形伴困难气道病人围手术期应加强气道管理,高质量的气道护理是保障顺利康复的关键。Objective To explore the perioperative nursing strategies for patients with complex cranio-cervical junction deformities accompanied by difficult airways.Methods The perioperative nursing experience of a patient with complex cranio-cervical junction deformities and difficult airways was summarized.The key points of nursing encompassed:airway risk assessment based on 3D models,establishment of an airway care team and formulation of individualized care plans,preoperative improvement of pulmonary ventilation function,enhancement of oral hygiene management,postoperative programmed weaning and extubation,implementation of closed-loop pulmonary rehabilitation training,and assessment and training of swallowing function.Results Through active treatment and individualized meticulous care,the patient was successfully discharged from the hospital and was capable of wearing a cervical collar and moving normally without respiratory-related symptoms at discharge.Conclusion For patients with complex cranio-cervical junction deformities accompanied by difficult airways,perioperative airway management should be intensified.High-quality airway care is the key to ensuring the smooth recovery of patients.

关 键 词：复杂颅颈交界区畸形 困难气道 围手术期护理 

分 类 号：R743[医药卫生—神经病学与精神病学] R473.6[医药卫生—临床医学]