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气管切开术后拔管和瘘口修复方法的探讨
引用本文:庞翠华. 气管切开术后拔管和瘘口修复方法的探讨[J]. 中国医药指南, 2010, 8(7): 19-21
作者姓名:庞翠华
作者单位:重度市急救医疗中心神经内科,400014
摘    要:目的探讨气管切开术后拔管和瘘口修复方法。方法分析22例气管切开术后拔管的体会。结果多数不经过试堵管采取直接拔管一次成功,仅见1例一次直接拔管失败;多数气管瘘口修复良好,仅1例瘘口修复欠佳。结论气管切开术后患者在条件许可时应尽早拔管,意识障碍不是绝对禁忌证。通常可直接拔管,瘘口采取渐进性封闭法,效果良好,值得推广应用。

关 键 词:气管切开  拔管  封闭

The Discussion on Methods of Extubation and Reparation of Orificium Fistulae after Tracheotomy
PANG Cui-hua. The Discussion on Methods of Extubation and Reparation of Orificium Fistulae after Tracheotomy[J]. Guide of China Medicine, 2010, 8(7): 19-21
Authors:PANG Cui-hua
Affiliation:PANG Cui-hua(Department of Neurology,Chongqing Emergency Medical Center,Chongqing 400014,China)
Abstract:Objective The discussion on methods of extubation and reparation of orificium fistulae after tracheotomy. Method Experiences by analyzing twenty-two cases of tracheotomy. Result Most cases got success by means of one time direct extubation,not by means of tube obstruction. In the twenty-two cases of tracheotomy,only one case of direct extubation was failure; Most of tracheal fistula repair well,and one reparation case of orificium fistulae was not good enough. Conclusion If conditions are permitting,extubat...
Keywords:Incision of Trachea  Extubation  Block  
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