目的:总结1例气道狭窄经球囊扩张和气管切开术后患者突发窒息的护理经验。方法:回顾性分析总结某院急诊收治的1例良性气道狭窄患者突发窒息结合中医情志护理的抢救流程临床资料。结果:患者成功解除窒息状态,呼吸费力情况好转,病情转归...目的:总结1例气道狭窄经球囊扩张和气管切开术后患者突发窒息的护理经验。方法:回顾性分析总结某院急诊收治的1例良性气道狭窄患者突发窒息结合中医情志护理的抢救流程临床资料。结果:患者成功解除窒息状态,呼吸费力情况好转,病情转归良好。结论:气管切开术是治疗经球囊扩张术后治疗良性气道狭窄效果不佳的辅助治疗方式,术后需考虑患者生理心理情况,针对性对重建气道做好管理维护,做好突发窒息的抢救预案,同时结合中医护理方法,改善患者身心不适,促进患者健康恢复。Objective: To summarize the nursing experience of sudden asphyxia in a patient with airway stenosis after balloon dilatation and tracheotomy. Methods: To retrospectively analyze and summarize the clinical data of the rescue process of sudden asphyxia combined with Chinese medicine emotional care for a patient with benign airway stenosis admitted to the emergency department of a hospital. Results: The patient was successfully relieved from asphyxia, and the situation of respiratory effort improved, and the condition turned out to be good. Conclusion: Tracheotomy is an adjunctive treatment for the poor effect of benign airway stenosis after balloon dilatation. After the operation, it is necessary to consider the physiological and psychological conditions of the patients, manage and maintain the reconstructed airway, and make a good rescue plan for sudden asphyxiation, and at the same time combine with the Chinese medicine nursing methods to improve the physical and mental discomfort of the patients, and to promote the recovery of the patients’ health.展开更多
目的:探讨纤维支气管镜辅助下经皮扩张气管切开术(percutaneous dilation tracheostomy,PDT)在中医院重症监护病房(Intensive Care Unit,ICU)的临床应用价值。方法:回顾性分析2018年1月—2023年12月昆明市中医医院重症医学科收治的48例...目的:探讨纤维支气管镜辅助下经皮扩张气管切开术(percutaneous dilation tracheostomy,PDT)在中医院重症监护病房(Intensive Care Unit,ICU)的临床应用价值。方法:回顾性分析2018年1月—2023年12月昆明市中医医院重症医学科收治的48例行气管切开术患者的临床资料,根据手术方式将其分为传统外科手术气管切开组(传统手术组)和纤维支气管镜辅助下经皮扩张气管切开组(纤支镜组),各24例。比较两组手术切口、手术时间、术中出血量、切口缝合人数及术后并发症。结果:纤支镜组手术时间短于传统手术组,手术切口小于传统手术组,术中出血量少于传统手术组,切口缝合人数少于传统手术组,术后切口渗血、皮下气肿及导管位置偏移发生率低于传统手术组,差异有统计学意义(P<0.05);但两组术后切口感染发生率比较,差异无统计学意义(P>0.05)。结论:纤维支气管镜辅助下PDT具有安全、便捷、手术切口小、手术时间短、出血量少、术后并发症少等优点。展开更多
文摘目的:总结1例气道狭窄经球囊扩张和气管切开术后患者突发窒息的护理经验。方法:回顾性分析总结某院急诊收治的1例良性气道狭窄患者突发窒息结合中医情志护理的抢救流程临床资料。结果:患者成功解除窒息状态,呼吸费力情况好转,病情转归良好。结论:气管切开术是治疗经球囊扩张术后治疗良性气道狭窄效果不佳的辅助治疗方式,术后需考虑患者生理心理情况,针对性对重建气道做好管理维护,做好突发窒息的抢救预案,同时结合中医护理方法,改善患者身心不适,促进患者健康恢复。Objective: To summarize the nursing experience of sudden asphyxia in a patient with airway stenosis after balloon dilatation and tracheotomy. Methods: To retrospectively analyze and summarize the clinical data of the rescue process of sudden asphyxia combined with Chinese medicine emotional care for a patient with benign airway stenosis admitted to the emergency department of a hospital. Results: The patient was successfully relieved from asphyxia, and the situation of respiratory effort improved, and the condition turned out to be good. Conclusion: Tracheotomy is an adjunctive treatment for the poor effect of benign airway stenosis after balloon dilatation. After the operation, it is necessary to consider the physiological and psychological conditions of the patients, manage and maintain the reconstructed airway, and make a good rescue plan for sudden asphyxiation, and at the same time combine with the Chinese medicine nursing methods to improve the physical and mental discomfort of the patients, and to promote the recovery of the patients’ health.
文摘目的:探讨纤维支气管镜辅助下经皮扩张气管切开术(percutaneous dilation tracheostomy,PDT)在中医院重症监护病房(Intensive Care Unit,ICU)的临床应用价值。方法:回顾性分析2018年1月—2023年12月昆明市中医医院重症医学科收治的48例行气管切开术患者的临床资料,根据手术方式将其分为传统外科手术气管切开组(传统手术组)和纤维支气管镜辅助下经皮扩张气管切开组(纤支镜组),各24例。比较两组手术切口、手术时间、术中出血量、切口缝合人数及术后并发症。结果:纤支镜组手术时间短于传统手术组,手术切口小于传统手术组,术中出血量少于传统手术组,切口缝合人数少于传统手术组,术后切口渗血、皮下气肿及导管位置偏移发生率低于传统手术组,差异有统计学意义(P<0.05);但两组术后切口感染发生率比较,差异无统计学意义(P>0.05)。结论:纤维支气管镜辅助下PDT具有安全、便捷、手术切口小、手术时间短、出血量少、术后并发症少等优点。
