【摘要】　目的　 探討吸入性損傷氣管切開置管，導管脫出的原因及正確的護理方法，提高護士對患者的預見性護理能力。　方法　 對2005年1月-2011年3月收治的158例吸入性損傷氣管切開患者，其中9例術后發生導管脫出的原因及護理對策進行回顧性總結。　結果　 9例患者發生導管脫出的主要原因有導管選用不當、劇烈咳嗽、系帶過松、氣囊充氣不足或氣囊破裂、切口過大，以及自行拔出。9例發生脫管時間不一，最短于氣管切開術后第1天，最長于術后15 d，8例經予以緊急處理而尚未影響后續治療，1例因缺氧時間太長而死亡。　結論　 充分認識吸入性損傷患者氣管切開脫管原因，并采取預見性的觀察及護理措施，可減少脫管發生，確保患者安全。
【Abstract】　Objective　 To explore the reasons and correct nursing methods of placing endotracheal tubes and tubes prolapsing after incision of trachea for inhalation injury.　Methods　 The clinical data of nine patients with endotracheal tubes prolapse after incision of trachea out of 158 patients suffering from incision of trachea for inhalation injury from January 2005 to March 2011 were retrospectively analyzed.　Results　 The reasons of nine patients suffering from endotracheal tubes prolapse included tubes incongruity, severe cough, too slack bridles, insufficiency and break of aerocysts, too large incision and extraction by themselves. The prolapse time of nine patients was different. The shortest time was postoperative one day, the longest one was postoperative 15 days. Eight patients were treated emergently and healed normally. One patient died of long oxygen deficiency.　 Conclusions 　The reasons of endotracheal tubes prolapse after incision of trachea are sufficiently recognized. Predictable observing and nursing methods may decrease the incidence rate of tubes prolapse.

Citation： HUANG Jianqiong. Reasons and Treatment of Endotracheal Tube Prolapse after Inhalation Injury. West China Medical Journal, 2011, 26(10): 1455-1457. doi: Copy

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