气管切开患者气道管理探讨

气管切开是通过手术方法将气管切开,插入气管套管以形成人工通道,以解决呼吸困难或窒息的一种技术.气管切开的部位通常选择在甲状软骨下第2 和第3 或第3 和第4 环状软骨之间作横切口,气管切开是抢救急危重症患者呼吸道不畅时采取的紧急而有效的治疗措施,早期气管切开可以降低格拉斯哥评分很低的神经外科病人的气管及支气管相关的并发症.气管切开后气道管理是护理的重中之重,其质量影响原发疾病的转归.我科自2008年至今共收治气管切开患者26例,本文分别从气道湿化护理、吸痰护理、气管套管护理方面作了如下探讨.

Tracheotomy patient gas channel management discussion

The tracheotomy is through the surgery method the tracheotomy,inserts the trachea drive pipe to form the artificial channel, solves one kind of technology which the breath difficulty or suffocates. The traeheotomy spot usual choice 2nd and 3rd or 3rd and between the 4th cricoid carti- lage makes the horizontal margin when the thyroid cartilage, the tracheotomy is the rescue dangerous critically ill patient respiratory tract impeded takes urgent and the effective remedial measure, the early time traeheotomy may reduce Glasgow to grade the very low neurosurgery department patient＇s trachea and the bronchial tube correlation complication. After the traeheotomy the gas channel management is the nursing the most important,its quality influence primary disease extension turns over to. My branch altogether admits the tracheotomy patient 26 examples until now from 2008, this article separately from gas channel wet nursing, attracted phlegm nursing, the trachea drive pipe nursing aspect has made the following disetlssion.