气管切开术后快速建立人工气道的临床观察

Observation of fast establishment of artificial airway post-tracheotomy

目的探讨气管切开术后快速建立人工气道的适应证及效果。方法回顾240例呼吸困难患者,为其实施紧急气管切开术或常规切开术后安放一次性气囊气管导管,观察其效果及并发症。结果240例患者通过气管切开术后快速建立人工气道,除自身疾病严重抢救无效死亡60例外,180例患者痊愈出院,无严重并发症。结论气管切开术是解除各种原因导致呼吸道梗阻而采取的急救措施,而应用一次性气囊气管导管快速建立人工气道为抢救患者生命赢得宝贵时间,同时是维持患者呼吸道通畅的重要手段。

Objective To investigate the indication and effect of fast establishment of artificial airway. Methods Retrospectively analyze the effect and complication of 240 patients in whom single use cuff trachea cannula was inserted during emergent or regular traeheotomy. Results In these 240 cases＇of fast establishment of artificial airway post-tracheotomy, 180 cases were cured without severe complications,except for 60 death cases. Conclusion Tracheotomy is a salvage measure for relieving airway obstruction due to multiple causes. The applieance of single use cuff trachea cannula is time-saving, also is an important measure to maintain patients＇ airway unobstructed.