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38例老年病人人工气道意外原因分析及护理对策 被引量:28

Accidental Causes of the Emergency of Artificial Airway in 38 Aged-patients and Nursing Measures
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摘要 目的 提高对人工气道意外的预见性护理及紧急处理能力。方法 回顾性分析38例老年病人人工气道发生意外的情况及其原因。结果 意外情况有导管扭曲、堵塞、脱出,气囊破裂,出血等;主要原因为固定不良、外力牵拉、湿化不良、排痰不畅、机械损伤等。结论 防止人工气道意外,必须加强预见性护理,如加强导管的固定和保护;加强气道湿化与排痰;做好气囊管理,避免机械损伤等。同时掌握应急处理措施,以确保护理安全。 Objective To improve the predicted nursing ability to deal with the emergency of artificial airway. Methods The causes of the artificial airway emergency in 38 aged-patients were analyzed. Results The emergency of artificial airway during the mechanical ventilation in 38 aged-patients was as follows: tube distoring, tube blocking, out of position, cuff leaking and bleeding, and so on. Major causes included; disfixing, drawed by external force, dishymidity, disability of sputum, mechanical injures. Conclusion It is necessary to prevent the artificial airway e-mergency. To improve predicted nursing, tube fixed and protected, airway humidity and sputum removed effectively can avoid mechanical injures. To lessen emergency, we should know the methods of dealing with emergency and nursing measures.
出处 《护理学杂志(综合版)》 2002年第11期823-825,共3页 Journal of Nursing Science
关键词 原因分析 人工气道 气道梗阻 护理 老年人 artificial airway airway obstruction nursing care
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