Ebumnuche bụ isi nke balloon catheter

Ebumnuche bụ isi nke balloon catheter mgbe intubation endotracheal bụ iji dozie na igbochi ntapu ikuku.Tụkwasị na nke a, ihe ndị nọọsụ na-elekwasị anya bụ ịṅa ntị n'oge ndochi balloon, zere inye nri ọnụ, mee ka trachea ghara igbochi ya na ihe ndị ọzọ.Intubation endotracheal bụ catheter pụrụ iche nke endotracheal, site n'ọnụ onye ọrịa ma ọ bụ oghere imi, site na glottis n'ime trachea ma ọ bụ bronchus nke onye ọrịa, iji nye ọnọdụ maka ikike ikuku, ikuku oxygen na ihe na-adọrọ adọrọ nke iku ume, bụ ihe dị mkpa iji napụta ndị ọrịa nwere nsogbu iku ume. .

I. Ebumnuche nke akpa ikuku:

1. Ndozi: Mgbe intubation endotracheal gasịrị, onye ọrịa kwesịrị iji agịga efu ozugbo tinye ikuku n'ime akpa ikuku.Mgbe akpa ikuku gbasasịrị, ọ nwere ike ịrapagidesi ike na ikuku ikuku ma rụọ ọrụ nke idozi trachea iji gbochie trachea ka ọ ghara ịdaba;

2. gbochie ikuku ikuku: ọ bụrụ na onye ọrịa na-etinye ikuku ventilashị na ngwaọrụ ndị ọzọ, akpa ikuku na-arapara n'ime ikuku n'oge a, ikuku nke ikuku ventilator ma ọ bụ oxygen na-akwali nwere ike izere ịpụpụ na oghere dị n'etiti ikuku na ikuku. trachea.

II.nọọsụ:

1. Ndochi akpa ikuku nke oge: na-emekarị mgbe intubation endotracheal gasịrị, a na-ewepụ akpa ikuku maka 5-10 nkeji / oge, na gas na akpa ikuku kwesịrị ikpochapụ otu ugboro kwa awa 4-6, na olu nke 2-5ml.Tụkwasị na nke ahụ, a ga-ezere ọnụ ahịa dị ukwuu, ka ọ ghara ịkwanye mgbidi ikuku, nke na-ebute oke ọbara nke mucosa tracheal mpaghara, na izere necrosis nke mucosal ischemia na hypoxia kpatara.Ọ bụrụ na akpa ikuku ezughị oke, ikuku ikuku nwere ike ime;

2. Zere inye nri ọnụ: Ọ bụrụ na ndị ọrịa na-enweta intubation endotracheal, a ga-ezere inye nri ọnụ ruo ka o kwere mee iji zere ihe fọdụrụ n'ihe oriri na trachea, na-ebute mmepụta nje bacteria na ọrịa akpa ume;

3. Debe trachea na-adịghị ahụ anya: ọ bụrụ na sputum onye ọrịa ahụ dị oke ma buru ibu, ọ dị mkpa ịtụgharị ma gbanye azụ n'oge.Enwere ike ịgbakwunye saline nkịtị ma ọ bụ sodium bicarbonate na tracheal intubation nke onye ọrịa iji mee ka sputum dị nro, ma ọ bụ enwere ike ịgbanye sputum site na atomization, ka ịzenarị tracheal intubation nke sputum na-egbochi ma mee ka trachea onye ọrịa ghara ịhụ ya.Tụkwasị na nke ahụ, a ga-eji paịlị eze mee ihe iji zere imechi oghere nke trachea, na-emetụta patency nke trachea;

4. Nyocha mgbe niile: Ekwesịrị ịlele ọnọdụ nke intubation endotracheal mgbe niile maka mmegharị, mgbaka na ihe ndị ọzọ.A na-ejikarị teepu eme ihe maka nhazi nke abụọ iji zere ndagide luminal.

Nkeụlọ ọrụnwere nke yaụlọ ọrụ mmepụta ihena imewe otu, ma na-etinye aka na mmepụta na ire ngwaahịa ọgwụ ruo ogologo oge.Anyị nwere ahịrị ngwaahịa ndị a.

Ịhịa aka n'ahụ ahụike ikuku(Uwe Lymphedema maka ụkwụ, mkpakọ aka uwe maka lymphedema, ikuku mkpakọ ọgwụgwọ usoro wdg) naUsoro DVT.

Uwe ọgwụgwọ anụ ahụ nke obi

③Mkpa pneumaticnjem nleta

Igwe ọgwụgwọ oyi(oyi ọgwụgwọ blanketị, oyi ọgwụgwọ uwe, ice mkpọ ụkwụ aka uwe, ọkụ mkpọ maka Panetc)

⑤ Ndị ọzọ dị ka ngwaahịa obodo TPU (obi ekara inflatable ọdọ mmiri,mgbochi mgbali elu matraasi,igwe ọgwụgwọ ice maka ụkwụect)


Oge nzipu: Mee-18-2022