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1.
气管切开切口换药方法的改进   总被引:1,自引:0,他引:1  
气管切开术,做为临床解除呼吸道梗阻,改善氧循环的一种急救技术,已为广泛采用,但气管切开术后发生的皮下气肿及切口周围感染是临床常见并发症,本文针对其发生原因进行了分析,探讨了改进术后切口的换药方式,有效的降低了皮下气肿和感染的发生率。  相似文献   

2.
Local external evidence of neck trauma – bruising, subcutaneous emphysema, cuts, abrasions and so on – signs of upper airway obstruction, dysphonia and dysphagia are the hallmarks of laryngotracheal lesions. Such lesions tend to occur after motor vehicle accidents and usually require surgery. We describe a case of blunt laryngeal trauma, resulting from an unusual mechanism, which healed spontaneously.  相似文献   

3.
气管切开术后意外情况的处理及预防   总被引:6,自引:0,他引:6  
林燕虹 《护理学报》2002,9(5):25-26
作总结了8例重型颅脑损伤病人行气管切开术后意外情况包括伤口出血,皮下气肿,内套管取出与安放困难,内套管阻塞,套管脱出,拔管方法不当等,并就其处理方法和预防措施,正确吸痰和清理内套管,防止肺部感染,保持呼吸道通畅,防止套管脱出等进行了讨论。  相似文献   

4.
目的探讨胸腔镜下肺部手术后发生广泛皮下气肿的影响因素。方法回顾性分析2015年10月-2020年10月3 314例行胸腔镜下肺部手术后发生广泛皮下气肿患者的临床资料,寻找发生广泛皮下气肿的相关因素,分析皮下气肿的治疗效果。结果术后广泛皮下气肿发生率为1.90%(63/3 314)。其中,肺减容、胸腔粘连、合并肺气肿和术后持续漏气的患者术后广泛皮下气肿发生率高(P 0.05)。结论胸腔镜下肺部手术后广泛皮下气肿的发生与肺减容手术方式、胸腔粘连、合并肺气肿和术后持续漏气有关。  相似文献   

5.
Yao CT  Wang JN  Tai YT  Tsai TY  Wu JM 《Resuscitation》2004,61(1):97-99
The severity of airway obstruction varies in infants with Pierre-Robin syndrome (PRS). Some have severe upper airway obstruction that results in respiratory failure and even death. We report a case of neonate with isolated PRS who had a severe airway obstruction and respiratory failure after birth. She had complications of bilateral pneumothorax, subcutaneous emphysema, and hypoxaemia due to difficult tracheal intubation. Respiratory failure recurred immediately after extubation; she was resuscitated by inserting a laryngeal mask airway. The laryngeal mask airway was left inserted for 6 days. It was successful in this patient and eliminated the need for invasive surgical procedures. In conclusion, the relatively long term use of a laryngeal mask airway, which has not been reported before, could be an alternative therapy for patients with PRS with airway obstruction.  相似文献   

6.
Pneumomediastinum, pneumothorax, and subcutaneous emphysema can occur occasionally after a surgical procedure. Facial swelling is a common complication of dental management. The occurrence of subcutaneous emphysema, pneumothorax, and pneumomediastinum after dental procedures is rare. We present a case with subcutaneous emphysema of the upper chest, neck, chin, and pneumomediastinum after a tooth extraction and discuss the possible mechanism of subcutaneous emphysema. To prevent these complications during dental procedures, dental hand pieces that have air coolant and turbines that exhaust air in the surgical field should not be used.  相似文献   

7.
目的:观察双腔气囊导尿管用于胸腔闭式引流治疗气胸与传统硅胶管胸腔闭式引流治疗气胸的效果差异。方法:选择52例气胸患者,随机分为治疗组和对照组,每组26例。治疗组采用双腔气囊导尿管行闭式引流治疗,对照组采用传统硅胶管行闭式引流治疗。观察两组置管引流时间、脱管发生率及皮下气肿发生情况及引流管阻塞发生率。结果:治疗组置管引流时间短于对照组,治疗组脱管率及皮下气肿发生率低于对照组,治疗组引流管阻塞发生率高于对照组,但无统计学意义。结论:采用双腔气囊导尿管行胸腔闭式引流术治疗气胸效果优于传统硅胶管闭式引流治疗。  相似文献   

8.
Orbital subcutaneous emphysema develops when air enters the surrounding soft tissue. This occurs as a result facial bone trauma, iatrogenic dental and otolaryngeal procedures, and gas-producing infectious microorganisms. Case reports regarding this phenomenon after sneezing are very uncommon. Although orbital subcutaneous emphysema is not a true emergency, it can be distressful to patients. This case serves to bring awareness to emergency department physicians regarding the possibility of a nontraumatic orbital subcutaneous emphysema and its related complications.  相似文献   

9.
We present a case of a patient with severe chronic obstructive pulmonary disease who developed dramatic mediastinal and subcutaneous emphysema, without pneumothorax, following a difficult intubation. Misdiagnosis of tracheal rupture as barotrauma from alveolar overdistention initially delayed intervention and caused persistence of subcutaneous emphysema. Despite efforts to minimize tidal volume and airway pressure, the large airway disruption and positive-pressure ventilation resulted in tension subcutaneous emphysema with near-fatal hemodynamic compromise, oliguria, and respiratory acidosis. Decompression with subcutaneous vents immediately reversed the life-threatening circulatory and respiratory compromise and stabilized the patient until surgical correction of the tracheal tear could be accomplished.  相似文献   

10.
Spontaneous retroperitoneal sigmoid diverticular perforation presenting as subcutaneous cervical emphysema is rare. We describe a case successfully treated by surgery. Patients presenting with subcutaneous emphysema with negative thoracic findings should be scrutinised for signs of retroperitoneal hollow viscus perforation to improve their outcome.  相似文献   

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