急性有机磷中毒病人气管切开术后排痰的护理

目的研究有机磷农药中毒病人气管切开术后的排痰方法.方法将74例有机磷中毒气管切开病人分为实验组和对照组,实验组加大湿化液剂量,每次滴注为5 ml,每日湿化液量在500ml以上,吸痰管只在气管套管口吸痰,同时配合胸壁加压法.对照组每次湿化液滴注2 ml,每日总量在250 ml.结果实验组并发症发生率,拔管时间,住院天数以及死亡率,与对照组比较差异有显著性意义（P＜0.05）.结论充分湿化气道是气管切开排痰成功的关键.

Nursing on removing sputum of patients with acute organophosphorous poisoning after tracheotomy

Objective To study the nursing of removing sputum of patients with acute organophosphorous poisoning after tracheotomy.Methods 74 cases were divided randomly into experimental group(36 cases)and control group(38 cases).The patients in experimental group were added dose of wetting liquid and dropped 5ml per time and the amount of wetting liquid was more than 500ml;nurse sucked patients' sputum with sputum suction and only in trachea cannula opening,and performed chest wall compressed simultaneously.The patients in control group were dropped liquid 2ml per time and the amount of liquid was 250ml a day.Results There were significant differences in complication incidence,extubation time,hospitalized day and mortality between two groups(P<0.05).Conclusions Full-wetting airway is the key of removing sputum successfully after tracheotomy.