摘要
基底节脑出血发病突然,患者可在一段时间内出现意识障碍,需积极抢救,建立人工气道以获得有效通气,如有必要,还需行气管切开术以保持气道通畅.然而,气管切开后,患者可出现不同程度的呼吸、吞咽、言语功能障碍,需引起临床的重视,一旦符合条件应尽早堵管、拔管.本文介绍1例基底节脑出血患者,其在术后行气管插管及气管切开,出现自主说话困难、呼吸功能低下,在指导其进行康复训练的同时,佩戴说话瓣膜作为辅助,治疗后患者顺利拔出气管套管、鼻胃管,安全经口进食,能自主发出"a"等音,时长明显提高,佩戴过程中无不良反应.本文对患者情况进行报道,以期为临床提供参考.
Basal ganglia cerebral hemorrhage occurs suddenly,and patients may appear consciousness disorders within a period of time.It is necessary to actively rescue,establish an artificial airway to obtain effective ventilation,and if necessary,tracheotomy is needed to keep the airway unobstructed.However,after tracheotomy,patients may have different degrees of respiratory,swallowing and speech dysfunction,which needs to be paid attention to clinically.Once the conditions are met,the tube should be plugged and removed as soon as possible.This paper introduces a case of basal ganglia cerebral hemor-rhage patient.After tracheal intubation and tracheotomy,the patient had difficulty in speaking and respiratory dysfunction.While guiding the patient to carry out rehabilitation training,wearing a speaking valve as an auxiliary device was used.After treatment,the patient was successfully removed from the endotracheal tube and nasogastric tube,safely ate by mouth,and could independently produce sounds such as"a".The duration was significantly increased,and there was no adverse reaction during the wearing process.This paper reports the patient's situation in order to provide reference for clinical practice.
作者
侯天晨
胡青
李惟婧
HOU Tianchen;HU Qing;LI Weijing(Department of Neurological Rehabilitation,Sichuan Bayi Rehabilitation Center,Chengdu Sichuan,611100,China;Department of Adult Speech and Swallowing Therapy,Sichuan Bayi Rehabilitation Center,Chengdu Sichuan,611100,China)
出处
《反射疗法与康复医学》
2024年第4期195-198,共4页
Reflexology And Rehabilitation Medicine
关键词
说话瓣膜
基底节脑出血
吞咽
言语
Speech valve
Basal ganglia cerebral hemorrhage
Swallowing
Speech
