经纤支镜置放腔内支架治疗气管狭窄的护理及近期疗效评价

目的：研究纤支镜直视下置放气管支架治疗气管狭窄的护理要点，观察治疗狭窄的近期疗效。方法：对采用纤支镜置放气管支架治疗的14例气管狭窄的患者，在治疗中实施相应护理。结果：14例患者在置入气管支架后呼吸困难立即缓解，管腔通畅。追踪观察3个月，其中1例因大咯血窒息，于术后50d死亡，1例因肺内感染，于术后70d死亡；余12例呼吸道无狭窄。结论：经纤支镜直视下置入气管支架治疗各种原因引起的气管狭窄，方法简单，易行，较为安全，近期效果明显，不但可即刻缓解呼吸困难症状，提高患者的生活质量，并为进一步病因治疗创造了机会。术前加强心理护量，强调充分的术前准备及宣教，术后密切观察生命体征变化，预防并发症，有助于手术的成功及患者的康复。

Nursing and curative effect of tracheal cradle with bronchoscope on treating tracheal constriction

[ Objective ] To study the nursing and curative effect of tracheal cradle with bronchoscope on treating tracheal constriction. [Methods] 14 patients with tracheal constriction accepted treatment with inner- cavity cradle and nursing during treatment. [Results] 14 patients were released from dyspnea immediately after accepting inner - cavity cradle. 3 months' examination showed that one patient died from hoauily bleeding 50 days after operation; one patient died 70 days after operation from pulmonary inflammation; the rest 12 patients had no tracheal constriction. [ Conclusion ] Tracheal cradle with bronchoscope treatment is proved to be feasible and reliable with significant effect. Psychological nursing before operation will benefit the success of the operation.