ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会
急症护理研究

声门下气道重度狭窄患者血液透析时突发气道梗阻的急救护理

  • 羊木英 ,
  • 陈轩 ,
  • 胡汉
展开
  • 310051 杭州市 浙江大学医学院附属第二医院护理部
羊木英:女,本科,主管护师,护士长,E-mail:2196016@zju.edu.cn
胡汉,E-mail:hh157581@zju.edu.cn

收稿日期: 2025-02-12

  网络出版日期: 2025-08-12

Emergency nursing care for sudden airway obstruction in a patient with severe subglottic airway stenosis during hemodialysis

  • YANG Muying ,
  • CHEN Xuan ,
  • HU Han
Expand

Received date: 2025-02-12

  Online published: 2025-08-12

摘要

总结1例声门下气道重度狭窄患者,行血液透析治疗时突发气道梗阻的急救护理体会。针对该患者病情危急、手术与康复情况特殊等难点,采取气道梗阻性呼吸困难的鉴别和处理;个性化气道T管置入术前准备;气道T管置入术后护理;以及落实共同决策模式下的康复护理等。患者住院7 d后,带T管出院,随访1个月,恢复良好。

本文引用格式

羊木英 , 陈轩 , 胡汉 . 声门下气道重度狭窄患者血液透析时突发气道梗阻的急救护理[J]. 中华急危重症护理杂志, 2025 , 6(8) : 960 -963 . DOI: 10.3761/j.issn.2096-7446.2025.08.010

Abstract

To summarize the emergency nursing experience of sudden airway obstruction in a patient with severe subglottic airway stenosis during hemodialysis. In response to the patient’s critical condition,special surgical and rehabilitation conditions,and other difficulties,measures included identification and management of airway obstructive dyspnea,individualized preoperative preparations for T-tube insertion,postoperative care for T-tube insertion and implementation of the rehabilitation nursing under the shared decision-making. The patient was discharged with T-tube after 7 days of hospitalization and followed up for 1 month with good recovery.

参考文献

[1] 徐荧晨, 杨明夏. 气道狭窄的治疗现状及研究进展[J]. 国际呼吸杂志, 2023, 43(7):849-853.
  Xu YC, Yang MX. Current status and research progress on the treatment of airway stenosis[J]. Int J Respir, 2023, 43(7):849-853.
[2] Oberg CL, Holden VK, Channick CL. Benign central airway obstruction[J]. Semin Respir Crit Care Med, 2018, 39(6):731-746.
[3] Kanavitoon S, Kou YF, Rutter MJ. Airway management with congenital tracheal stenosis:surgical and anesthetic consideration[J]. Laryngoscope, 2025, 135(4):1506-1510.
[4] 王婷婷, 吕振存, 刘惠林, 等. 维持性血液透析患者的呼吸功能障碍与康复[J]. 中国血液净化, 2021, 20(4):217-220.
  Wang TT, Lü ZC, Liu HL, et al. Respiratory dysfunction and rehabilitation in maintenance hemodialysis patients[J]. Chin J Blood Purif, 2021, 20(4):217-220.
[5] 朱顺芳, 刘丹, 陈燕君, 等. 5次坐立试验对慢性阻塞性肺疾病病人肺康复训练效果的评估价值[J]. 护理研究, 2020, 34(20):3723-3726.
  Zhu SF, Liu D, Chen YJ, et al. Evaluation value of five repetition sit-to-stand test(5STS) for effect of pulmonary rehabilitation in COPD patients[J]. Chin Nurs Res, 2020, 34(20):3723-3726.
[6] 尹丹娜, 罗静, 徐飞, 等. 基于互联网+移动护士站联合ISBAR沟通模式在手术室交班中的应用[J]. 护理学报, 2021, 28(24):26-30.
  Yin DN, Luo J, Xu F, et al. Internet plus-based mobile nurse station combined with ISBAR communication mode in shift in operating room[J]. J Nurs(China), 2021, 28(24):26-30.
[7] 杜江, 屈俊宏. 一站式快捷术前准备模式应用于关节置换择期手术患者的效果评价[J]. 中国护理管理, 2019, 19(10):1547-1551.
  Du J, Qu JH. The effect of one-stop rapid pre-operative preparation mode in patients with total joint arthroplasty[J]. Chin Nurs Manag, 2019, 19(10):1547-1551.
[8] 徐文祥, 杨天蓓, 李荣惠, 等. 人体成分分析仪在评估MHD患者干体重中的临床研究[J]. 社区医学杂志, 2024, 22(24):838-841.
  Xu WX, Yang TB, Li RH, et al. Clinical study of body composition analyser in assessing dry weight in MHD patient[J]. J Community Med, 2024, 22(24):838-841.
[9] McPeake ML, Cook N, Mcilfatrick S, et al. The experience of shared decision-making for patients with end-stage kidney disease undergoing haemodialysis and their families-a scoping review[J]. J Clin Nurs, 2023, 32(17/18):6243-6253.
[10] Kokkinakis S, Venianaki M, Petra G, et al. A comparison of the malnutrition universal screening tool(MUST) and the mini nutritional assessment-short form(MNA-SF) tool for older patients undergoing general surgery[J]. J Clin Med, 2021, 10(24):5860.
[11] 王晓丽. 维持性血液透析患者心理复原力评估工具的研究进展[J]. 心理月刊, 2024, 19(1):223-226.
  Wang XL. Research progress on psychological resilience assessment tools for adult maintenance hemodialysis patients[J]. Psychol Mon, 2024, 19(1):223-226.
文章导航

/