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目的探究对神经外科危重患者实施人工气道并予以有效护理的重要临床意义。方法在我院神经外科住院收治的患者中,选取已经建立人工气道的危重患者68例,对每位患者的人工气道都采取切实有效的护理措施,并且严密观察3个月后的患者的临床结局。结果 5例患者发生肺部及呼吸道感染,其中2例气管插管的患者以及3例气管切开的患者,另外的5例患者由于原发病的病情过重,由于治疗无效而导致临床死亡。而在这其中,所有气管切开的患者均未出现切口处皮肤的感染,并且接受气管插管的患者的口腔以及鼻腔黏膜部位均保持完好。所有的患者都没有未出现任何管道阻塞、脱落的现象,也没有自行拔管等一系列意外的发生。结论通过实施有效的护理可以显著地降低临床患者呼吸道以及肺部感染的几率,有效降低死亡率,在很大程度上减轻患者的痛苦,从而保证患者生命的安全。
Objective To explore the important clinical significance of implementing artificial airway and effective nursing in critical neurosurgical patients. Methods 68 cases of critically ill patients who had already established artificial airway were enrolled in our hospital for neurosurgery. Practical and effective nursing measures were taken for the artificial airway of each patient, and the patients’ Clinical outcome. Results Five patients developed pulmonary and respiratory infections. Two of the patients had endotracheal intubation and three had tracheotomy. The other five patients died of the disease due to the primary disease, which resulted in clinical death. In this case, none of the tracheotomy patients had an incisional skin infection, and the mouth and nasal mucosa of patients receiving endotracheal intubation remained intact. All patients did not appear any obstruction of the pipe, off the phenomenon, there is no extubation and a series of other accidents. Conclusion Effective nursing can significantly reduce the risk of respiratory and pulmonary infection in clinical patients, effectively reduce the mortality rate, relieve the patient’s pain to a great extent and ensure the safety of patients’ lives.