气管切口护理.docVIP

ICU气管切开患者的术后护理 【摘要】目的 观察ICU气管切开患者的术后护理效果。方法 选择行气管切开术的重型颅脑损伤患者37例，采用相应的护理措施。观察患者康复情况和气管切开的术后并发症。结果 27例患者意识清醒出院，10例患者治疗无效死亡，治疗期间1例患者出现导管堵塞，4例出现肺部感染。所有患者未见脱管、切口感染等并发症。结论 加强气管切开患者的术后护理，可改善患者的预后，减少术后并发症。 【关键词】气管切开术；护理；重型颅脑损伤 Postoperative nursing in the patients underwent HYPERLINK app:ds:severe \t severe HYPERLINK app:ds:craniocerebral \t craniocerebral HYPERLINK app:ds:injury \t injury in ICU 【Abstract】Objective To observe the effect of postoperative nursing in the patients of underwent HYPERLINK app:ds:severe \t severe HYPERLINK app:ds:craniocerebral \t craniocerebral HYPERLINK app:ds:injury \t injury in ICU. Method Thirty-seven patients underwent HYPERLINK app:ds:severe \t severe HYPERLINK app:ds:craniocerebral \t craniocerebral HYPERLINK app:ds:injury \t injury were chose. HYPERLINK app:ds:tracheotomy \t Tracheotomy and corresponding nursing measures were carried out in all patients. The recovery and complication of the patients after HYPERLINK app:ds:tracheotomy \t tracheotomy were observed. Result Twenty-seven patients discharged from hospital with HYPERLINK app:ds:conscious \t consciousness.Ten patients died. One patient occurred catheter occlusion. Four patients occurred lung infection while in hospital. No patients occurred catheter shedding and incision infection. Conclusion Strengthening postoperative nursing in the patients underwent HYPERLINK app:ds:severe \t severe HYPERLINK app:ds:craniocerebral \t craniocerebral HYPERLINK app:ds:injury \t injury can improve the prognosis and reduce the postoperative complication of the patients 【Key words】 HYPERLINK app:ds:tracheotomy \t Tracheotomy; Nursing; HYPERLINK app:ds:severe \t Severe HYPERLINK app:ds:craniocerebral \t craniocerebral HYPERLINK app:ds:injury \t injury 重型颅脑损伤是ICU常见病，患者常因意识障碍、舌后坠、咳嗽反射减弱或消失、呼吸道异物堵塞等造成窒息和缺氧。故为保证患者的呼吸功能，气管切开术常在重型颅脑损伤患者中应用[1], 但如术后护理不当, 患者可产生很多并发症，严重者危及生命。因此加强术后护理和防治并发症是挽救患者生命的关键。本研究结合本科条件，对已行气管切开术患者采用综合护理措施，观察护理效果，为临床护理这类患者提供参考。 1．资料与方法 1．1 一般资料 选