Chinangwa chikuru che catheter balloon

Chinangwa chikuru che catheter balloon mushure me endotracheal intubation ndechekugadzirisa nekudzivirira kubuda kwemhepo.Mukuwedzera, chinangwa chekuyamwisa ndechekuteerera nguva yekuzadza kwebhoti, kudzivisa kudya kwemuromo, kuchengetedza trachea isina kuvharwa nezvimwe zvakadaro.Endotracheal intubation inokosha endotracheal catheter, kuburikidza nemuromo wemurwere kana mhino yemhino, kuburikidza ne glottis mu trachea yemurwere kana bronchus, kupa mamiriro ekufambisa kwemhepo, kupiwa kweokisijeni uye kukwezva kwekufema kwekufema, chiyero chakakosha chekununura varwere vane chirwere chekufema. .

I. Chinangwa cheair bag:

1. Kugadzirisa: Mushure mokunge endotracheal intubation, murwere anofanira kushandisa pakarepo tsono isina chinhu kuti aise mweya muhomwe yemhepo.Mushure mokunge bhegi remhepo richiwedzera, rinogona kunamatira mumugwagwa uye kutamba basa rekugadzirisa trachea kudzivirira trachea kubva pakuparara;

2. Kudzivirira kubuda kwemhepo: kana murwere akaisa mhepo inofefetera nemimwe midziyo, bhegi remhepo rinonamira munzira yemhepo panguva ino, uye mhepo inosundwa nemhepo inofefetera kana kuti okisijeni inogona kudziviswa kubva pakubuda kunze kwepakati pakati penzira yemhepo nemhepo. trachea.

II.mukoti:

1. Nguva yekuzadza bhegi remhepo: kazhinji mushure mekupedzisira kwekupedzisira, bhegi remhepo rinosvibiswa kwe5-10 maminitsi / nguva, uye gasi muhomwe yemhepo inofanira kuderedzwa kamwe chete maawa 4-6, nehuwandu hwe2-5ml.Mukuwedzera, kukwira kwemari kwakanyanyisa kunofanira kudziviswa, kuitira kuti usamanikidzira rusvingo rwemhepo, zvichiita kuti ropa rive shoma remunharaunda tracheal mucosa, uye kudzivisa necrosis inokonzerwa mucosal ischemia uye hypoxia.Kana bhegi remhepo risina kukwana, kubuda kwemhepo kunogona kuitika;

2. Dzivisa kudyiswa kwemuromo: Kana varwere vachiwana endotracheal intubation, kudya kwemuromo kunofanira kudziviswa sezvinobvira kuti udzivise zvakasara zvezvokudya zvinogara pane trachea, zvichiita kuti kubereka kwebhakitiriya uye utachiona hwemapapu;

3. Chengetedza trachea unobpatency: kana sputum yemurwere yakakura uye yakasviba, zvakakosha kutendeuka uye kupuruzira kumashure munguva.Normal saline kana sodium bicarbonate inogonawo kuwedzerwa kumurwere we tracheal intubation kuti iwedzere sputum, kana sputum inogona kuderedzwa neatomization, kuitira kuti kudzivirira tracheal intubation yakavharwa ne sputum uye kuchengetedza trachea yemurwere isingaiti.Mukuwedzera, mazino emazino anofanirwa kushandiswa kudzivirira kuvhara kwekuvhara kwetrachea, kunokanganisa patency ye trachea;

4. Kuongororwa nguva dzose: Nzvimbo ye endotracheal intubation inofanira kuongororwa nguva dzose nokuda kwekufamba, torsion uye zvimwe zviitiko.Tepi inowanzoshandiswa kugadzirisa kwechipiri kudzivirira luminal prolapse.