先天性心脏病术后气管插管的护理

目的]探讨先天性心脏病患儿术后常规给予机械通气,经口气管插管与经鼻气管插管的呼吸道的护理.方法]心脏手术经口气管插管77例、经鼻气管插管15例,在机械通气阶段加强呼吸道护理.结果]呼吸模式参数设定、保持呼吸道通畅、无菌操作、保护口腔、鼻腔黏膜完整性、病情动态观察与对比是术后机械通气的关键,经口与经鼻气管插管各有优缺点.结论]留置气管插管与加强呼吸道管理是保证患儿渡过早期心肺功能不稳定阶段的主要措施,根据惠儿具体情况选择插管方式,使患儿最大受益.

Nursing care of postoperative congenital heart disease patients accepting trachea cannula

Objective:To probe into the nursing care of respiratory tract of congenital heart disease children undergoing postoperative routine mechanical ventilation, trachea cannula via mouth and trachea cannula via nose. Methods: Totally 77 cases undergoing operation on heart and trachea cannula via mouth and 15 cases undergoing trachea cannula via nose were selected. And respiratory tract care of them was carried out during mechanical ventilation. Results: To set up breath model and parameters, to keep respiratory tract unobstructed, aseptic manipulation, to keep the integrity of oral and nasal mucosa, to observe and to compare conditions of patients were key points of postoperative mechanical ventilation. And trachea cannula via mouth and via nose had respective advantages and disadvantages. Conclusion: Endotracheal intubation and strengthening respiratory tract management are the main measures for ensuring congenital heart disease children to pass the early instability stage of cardiorespiratory function. To select trachea cannula method based on concrete condition of children can let them to gain benefit in maximum.