摘要
目的探讨高血压脑出血气管切开的呼吸道护理,控制或减少并发症,提高治愈率。方法回顾性分析和总结52例高血压脑出血气管切开的呼吸道护理方法。结果采取有效的护理措施后,4例因脑疝死亡,3例发生肺部感染占6%,45例(86.5%)最终拔除气管套管。结论对气管切开病人护理时严格无菌操作,适时正确地深部吸痰,按需进行气道湿化,指导病人有效深呼吸及咳嗽排痰,减少不必要气道刺激等措施后并发症降低,治愈率明显提高。
Objective To explore the integrated nursing for patients with hypertensive intracerebral hemorrhage accepting incision of trachea,in order to control or reduce respiratory infections and improve the survival rate.Methods The methods of airway care after incision of trachea for 52 patients with hypertensive intracerebral hemorrhage were aggregated and summarized.Results After taking effective measures of care,4 patients died because of cerebralhernia.Three cases got respiratory infections,which accounted for 6%.And the other 45 patients（86.5%） ultimately extubated casing.Conclusion While caring for patient accepting incision of trachea,we should make aseptic techniques strictly,aspirate sputum in deep part at the right moment and correctly,carry out airway humidification based on demands,guide patients to cough and bathypnea effectively and encourage them cough and discard sputum,reduce unnecessary airway stimulation and so on.The complications reduced and the survival rate improved obviously.
出处
《中国实用神经疾病杂志》
2010年第16期2-4,共3页
Chinese Journal of Practical Nervous Diseases
关键词
高血压脑出血
气管切开
护理
Hypertensive intracerebral hemorrhage
Incision of trachea
Nursing
