31例小儿心内直视手术后呼吸道监护管理

Respiratory Monitor Management of 31 Children Cases after Intracardiac Direct-viewing Operation

目的 通过加强对 31例先天性心脏病病人手术后的呼吸道管理 ,减少肺部并发症。方法 根据小儿呼吸道特点 ,分析引起肺部并发症的原因 ,抓住气管插管、呼吸机应用、吸痰时机和方法、肺部物理治疗、湿化温化气道、术前术后健康指导几个重要环节 ,控制肺部并发症。结果 31例患儿中由于加强了气管护理 ,发生 7例肺部并发症 ,经治疗全部痊愈 ,无一例死亡。结论 加强小儿先天性心脏病术后呼吸道管理是减少术后并发症 。

Objective in order to reduce lung complication, respiratory monitor of 31 children cases after intracardiac direct-viewing operation was enhanced. Methods According to characteristic of children respiratory tract, the cause of lung complication was analyzed. Some key points, such as opportunity of trachea cannula, respiratory machine application and sputum suck, lung physical treatment, making air passage wet and warm, health guide before and after the operation, were paid attention to in order to reduce lung complication. Results only 7 of 31 cases had lung complication and all were cured and discharged due to respiratory monitor enhancement. No death case occurred. Conclusions respiratory monitor enhancement was an effective way to reduce children complication after intracardiac direct-viewing operation.