麻醉苏醒期患者发生呼吸道梗阻的原因分析及护理

Causes of respiratory tract obstruction during resuscitation of general anesthesia and nursing strategies

目的探讨患者在麻醉苏醒期发生呼吸道梗阻的原因及护理方法。方法对13例在麻醉苏醒期拔除气管导管后发生呼吸道梗阻的患者进行观察护理。结果 13例患者呼吸道梗阻发生原因为舌后坠,喉痉挛,支气管痉挛,气道分泌物堵塞气道,气管受压。本组患者经及时有效处理后,呼吸道梗阻症状均解除。结论密切观察、及时发现各种缺氧症状和呼吸系统指标的异常,迅速有效地处理发生呼吸道梗阻的原因是解除麻醉苏醒期呼吸道梗阻成功的关键。

Objective To explore the causes of respiratory tract obstruction during resuscitation of general anesthesia and nursing strategy.Method The clinical data of 13 patients with respiratory tract obstruction during resuscitation of general anesthesia after extubation were reviewed.Results The causes of respiratory tract obstruction included glossocoma,laryngismus,bronchial spasm,airway blockage with secretions and tracheal compression.The respiratory tract obstruction was cured by way of pertinent treatment.Conclusion The critical measures for the treatment of respiratory tract obstruction include careful observation and prompt detection of abnormal symptoms of hypoxia and respiratory index,and effective treatment.