| 微创冠脉搭桥术后患者拔除气管插管前后血气值的对比分析 |
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| 引用本文： | 丁艳琼,刘喜梅. 微创冠脉搭桥术后患者拔除气管插管前后血气值的对比分析[J]. 解放军护理杂志, 2003, 20(7): 8-9 |
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| 作者姓名： | 丁艳琼 刘喜梅 |
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| 作者单位： | 解放军总医院,心血管外科,北京,100853;解放军总医院,心血管外科,北京,100853 |
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| 摘 要： | 目的 了解微创冠脉搭桥术后患拔除气管插管前、后的血气值变化，为护士采取相应的护理措施提供依据。方法 采用自身对照研究，对16例非体外循环心脏跳动下冠状动脉旁路移植术(off-pump coronary artery bypass grafehy，OPCABG)后患早期拔除气管插管前、后血气值进行对比分析。结果 拔管后，患的氧分压较拔管前有显提高，二氧化碳分压虽略有增高但在正常范围内，碳酸氢根及血球压积无明显变化，血pH值稍有降低但在正常范围内。结论 对OPCABG患早期适时拔除气管插管，同时给予有效的肺部护理是安全而有效的。
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| 关 键 词： | 微创手术 非体外循环冠脉搭桥术 气管插管 血气分析 |
| 文章编号： | 1008-9993(2003)07-0008-02 |
| 修稿时间： | 2002-09-28 |
Changes of Blood Gas before and after Early Tracheal Extubation in Off-pump Coronary Artery Bypass Grafting Patients |
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| DING Yan-qiong,LIU Xi-mei. Changes of Blood Gas before and after Early Tracheal Extubation in Off-pump Coronary Artery Bypass Grafting Patients[J]. Nursing Journal of Chinese People's Liberation Army, 2003, 20(7): 8-9 |
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| Authors: | DING Yan-qiong LIU Xi-mei |
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| Abstract: | Objective To investigate changes of blood gas before and after early period of tracheal extu-bation in patients who underwent off-pump coronary artery bypass grafting ( OPCABG). Methods Blood gas was measured before and after the early period of tracheal extubation in 16 postoperative patients, and the results were compared and analyzed by auto - control. Results PaO2 increased greatly; PaCO2 increased and pH decreased, though they were within the normal ranges; there was no significantly different changes in HCO3- and Hct as compared with the results before extubation. Conclusion Early tracheal extubation , when assisted with effective pulmonary nursing care, is safe and effective for OPCABG patients. |
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| Keywords: | minimally invasive off-pump coronary artery bypass grafting( OPCABG) trachea! intubation blood gas analysis |
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