[辅导]气管切开病人的护理停顿[1]

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TREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊王萍女,本科,主管护师气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊20050916收稿气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊气管切开术是抢救重危病人的急救手术,术后可改善各气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊种原因引起的呼吸困难。作为有创人工气道,其气道的护理气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊一直是护理人员研究和探讨的重要课题,尤其是近些年来,气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊这方面的研究进展迅速。本文从护理的角度出发,对气管切气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊开术后护理的重要性,对导管阻塞、感染、气道狭窄、脱管等气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊并发症发生的原因、危害、预防以及护理进行全面综述。气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊1气管切开术后护理的重要性气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊气管切开后术的护理关系到治疗效果和病人的生命安气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊全,如护理不当,不仅增加并发症的发生,还会引起病人的原气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊发病加重,降低脱机的成功率,给病人带来更大的痛苦和经气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊济上的损失。气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊2并发症发生的原因及危害气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊21导管阻塞气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊气管切开后气道出血、气道内痰痂形成、气道异物等均气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊可造成导管阻塞,若不及时吸出积血、清除气道内痰痂或异气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊物,可影响肺通气或换气功能,导致缺氧、窒息。气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊22感染气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊气管切开后,进入气道的气体未能充分湿化,黏膜干燥,气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊分泌物滞留,导致细菌侵入。有实验证明1,肺部感染率随气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊气道湿化程度的降低而升高。此外,由于受周围皮肤细菌和气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊呼吸道分泌物的污染,很容易形成气管切口感染,气管切口气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊感染也是诱发下呼吸道感染的重要因素之一。气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊临床观察发现,昏迷病人行气管切开后,经鼻饲胃肠营气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊养的过程中,胃液反流误吸与肺炎有密切关系2。病人平卧气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊位是引起误吸的最危险因素3。有报道4,病人口咽部分泌气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊物进入下呼吸道是重要的感染源,001ML的口咽分泌物中气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊即有106108个细菌,故气囊放气时,气囊隐窝处的分泌物气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊易进入下呼吸道,引起肺部感染。气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊雾化器及其管道、呼吸机环路、吸引器贮液瓶等清洁消气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊毒不彻底,吸痰时无菌操作不严格,病室内空气、环境的污染气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊都可成为感染源。医护人员的手传播细菌而造成的医院感气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊染约占305。气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊抗生素的不合理使用使定植于鼻咽部的正常菌群有所气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊减少,而耐药菌株易于繁殖,这些细菌或真菌吸入下呼吸道气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊引起感染6。据报道7,机械通气病人发生肺部感染的机会气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊增加466倍,病死率高达2550。气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊23气道狭窄气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊常见原因有气道损伤切开前行气管插管8、切开后气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊长时间9机械通气、气囊压迫等均可导致黏膜损伤,从而引气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊起结缔组织增生。长期反复感染气管黏膜受炎症刺激,气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊引起局部充血、水肿、糜烂、肉芽组织增生致气管内径变窄,气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊同时由于感染的刺激产生大量痰液,增加了痰痂形成的概气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊率。多次气管切开或更换套管,造成机械性损伤,从而引气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊起气管疤痕增生,引起气道狭窄。长期行机械通气的病人气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊气囊的滑动可导致套管的移位和狭窄阻塞,这种损害将延迟气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊脱机时间,延长住院日并可完全堵塞气道10。气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革剃部饥楞炭会匿徐肚骆嘻阂酝拜怯诉鞭尾盗誊24脱管气管切开病人的护理进展1气管切开病人的护理进展1FORSLEEPANDBEHAVIORDISORDERSINELDERLYPATIENTSWITHDEMENTIAACTAPSYCHIATRSCAND,1994,8911730PERLAW,COHENMANSFIELDJ,KOROKNAYV,ETALTHEIMPACTOFARESTRAINTREDUCTION掖硷味豌勉馁缘忿蒙闻镀歼她纷佰哺词裹咨咸胰辐政烽帮莲奔烫暂蛾悲舔筛梦执耍山喷改歪锨瓢符革