气管切开患者的护理.pptVIP

气 管 切 开 患 者 的 护 理 The gas tube is cut open the patient care 四川大学华西医院：刘虹运 West China Hospital of Sichuan University: Yang Li 2013.2.18 February 18, 2013 　（一）术后护理 a the postoperative nursing 1、将患者安置于安静、清洁、空气新 1, patients will be placed in the quiet, clean, fresh air in the wards, 鲜的病室内，室温保持在21℃， at room temperature maintained at 21 ℃, humidity was maintained at 60%, 湿度保持在60%，气管套口覆盖2-4层温湿tracheal sleeve opening cover the temperature of 2-4 纱布，室内经常洒水，或应用湿器，定时 wet gauze, indoor regular watering, or the application of humidifier, 以紫外线消毒室内空气。 timed to ultraviolet disinfection of indoor air. 　　2、手术之初患者一般取侧卧位，以利 In 2, operation at the beginning of the general lateral decubitus position, in order 于气管内分泌物排出。 to facilitate endotracheal secretions. 但要经常转动体位，防止褥疮并使肺各部分But to the regular rotation position, preventing bedsore and the lung of each part of 呼吸运动不致停滞。 respiratory movement not stagnation. 　　3、备齐急救药品和物品，某些物品应置床头。 3, prepare first-aid medicines and articles, some items should be placed. 同号气管套管，气管扩张器，外科手术剪， The same number of tracheal cannula, tracheal dilator, surgical operation scissors, 止血钳，换药用具与敷料，生理盐水和饱和重碳酸钠液， forceps, dressing appliances and dressing, saline water and saturated sodium bicarbonate solution, 导尿包、吸引器，氧化气筒，呼吸机， urethral catheterization bag, suction pump, oxidation, ventilator, 手电筒等都应备齐，并妥为存放，以备急需。 flashlight should prepare, and properly stored, for a rainy day. 　4、谨防气管导管引起阻塞：阻塞原因一是气囊滑脱堵塞， 4, beware of the tracheal catheter obstructive: obstruction is a blockage airbag spondylolisthesis, 二是分泌物粘结成痂阻塞，如突然发生呼吸困难、发绀、病人烦躁不安， two is bonded into callus secretion obstruction, such as sudden onset of dyspnea, cyanosis, patient restlessness, 应立即将套管气囊一起取出检查。 should immediately check out with the sleeve bag. 为预防气囊滑脱，应注意将气囊扎牢固，将线头引出气管切开伤口处， In order to prevent the air detachment, attention should be paid to the balloon tied firmly, will head o