摘要
目的：探讨气管切开后套管的拔除方法和拔管困难的对策．方法：分析１２８例气管套管拨管的体会．结果：多数均可不经堵管或换管而直接拔除，仅见３例拔管困难．结论：气管套管在条件许可时应尽早拔除，昏迷不是绝对禁忌证，通常可直接拔除，对小儿和痰液多者可逐步更换细管，对置管时间太长者宜施行拔管后渐进性封闭法，确实拔管困难者可带管出院或延期堵管和拔除．
Objective: To study the methods of cannula plucking after tracheotomy and the countermeasure for difficulty on plucking the cannula. Methods: Comprehension of 128 cases of plucking cannula was analyzed. Results: The cannula was uprooted directly without blocking or exchanging thinner cannula in advance in most cases. Only 3 cases were found difficult in plucking the cannula. Conclusion: The cannula in trachea should be uprooted as soon as related conditions allowed. Coma is not an absolute contraindication. The cannula could be uprooted usually after sucking sputum sufficiently. For child patients and the ones with slightly much sputum, exchanging finer cannula step by step should be considered. For the patients whose cannula have been put in trachea for too long time, the nick of trachea should blocked little by little after plucking the cannula. For the patients. whose cannula is difficult to uproot definitely, discharging with the cannula in tracher or delaying blocking and uprooting the cannula may be a good idea.
出处
《伤残医学杂志》
2001年第4期15-17,共3页
Medical Journal of Trauma and Disability
