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婴幼儿二次气管插管的原因分析和护理策略
Cause analysis and nursing strategy of secondary tracheal intubation in infants
【摘要】 目的:探讨婴幼儿进行二次气管插管的原因以及护理对策。方法:回顾性分析31例婴幼儿进行二次气管插管的临床资料。结果:婴幼儿二次插管的原因有病情反复、肺部感染加重、撤机后痰多、咳嗽无力、喉头水肿、气道异常或受压等因素;二次插管时间以拔管后4 h多见,占46.94%。结论:导致婴幼儿进行二次插管的原因是多方面的,应积极治疗患儿肺部疾病,做好人工气道管理,减少带机期间并发症,及时发现异常气道,早期给予干预措施,掌握好撤机指针,重视撤机后气道的管理,以达到减少二次插管的目的。
【Abstract】 Objective:To explore the reasons and nursing countermeasures of secondary tracheal intubation for infants and young children.Methods:A retrospective analysis of the clinical data of 31 infants and young children undergoing secondary tracheal intubation.Results:The reasons for the secondary intubation of infants and young children were repeated illness,worsening lung infection,excessive sputum after weaning,coughing weakness,laryngeal edema,abnormal airway or compression,etc;the time of secondary intubation was 4 hours after extubation More common,accounting for 46.94%.Conclusion:There are many reasons for the secondary intubation of infants and young children.It is necessary to actively treat lung diseases in children,strengthen the management of artificial airways,reduce complications during the period of taking the machine,find abnormal airways in time,give early intervention measures,and master well Weaning pointer,pay attention to the management of the airway after weaning,in order to achieve the purpose of reducing secondary intubation.
【Key words】 infants and young children; tracheal intubation; pediatric intensive care unit;
- 【文献出处】 安徽医专学报 ,Journal of Anhui Medical College , 编辑部邮箱 ,2022年04期
- 【分类号】R472
- 【下载频次】30