摘要
目的：探讨大面积烧伤合并吸入性损伤患者气管切开后气道湿化的方法。方法：严密观察气管切开患者的病情变化，给予病房内空气湿化、套管外口敷料湿化、超声雾化吸入湿化、气道冲洗、气管内滴药及呼吸机湿化等综合气道湿化护理，观察肺部感染、气道阻塞等并发症的发生率。结果：78例患者气管切开时间为伤后2。9h，平均4．6h。拔管时间9。27d，平均13．5d。治愈73例，死亡5例，死亡原因分别为多器官功能衰竭2例，创面脓毒症2例，肺部感染1例，治愈率93．59％。没有出现气道阻塞并发症。结论：正确有效地做好大面积烧伤合并吸人性损伤患者气管切开后的气道湿化，有利于减少呼吸道并发症，是治疗吸入性损伤的有效方法。
Objective： To explore the application of humidity therapy in airway on nursing the extensive burn accompanying inhalation injury patients after resection of trachea. Methods： The pathogenetic condition of patients after resection of trachea were observed closely, and humidity therapy in airway, including air humidity of the ward, dressing humidity around the casing, ultrasound nebulae inhalation, irrigation of the trachea and bronchi, drug dripping via intratracheal intubated tube and air humidity in the airway via moisture bottle of respirator were applied. The ratio of complication of pulmonary infection and airway obstruction were observed. Results：The resection time were 2 hours to 9 hours（average 4.6 hours） ,The extubatian time were 9 days to 27 days（average 13.5 days） in all 78 patients. 73 cases were healing, two cases died of multiple organ dysfunction syndrome, two case died of pynhemia and one died of pulmonary infection. The healing ratio was 93.6 percent. None patient were complicated by airway obstruction. Conclusion： The reasonable utility of humidity therapy in airway on nursing the extensive burn accompanying inhalation injury patients after resection of trachea could be reduce the occurring of complication in airway, it was a valid treatment for inhalation injury patients.
出处
《护理实践与研究》
2006年第4期12-14,共3页
Nursing Practice and Research
