颈部钝性创伤合并隐匿性气管损伤患者的急救护理

doi:10.3761/j.issn.2096-7446.2023.05.009

Abstract

Abstract: To summarize emergency nursing experience of a patient with blunt neck trauma combined with concealed tracheal injury. In view of the complex situation of the patient's airway and nursing difficulties requiring rapid management to ensure airway safety,we adopted dynamic assessment of airway and implemented ladder management of respiratory support;implemented emergency tracheotomy operation management including preoperative material preparation,intraoperative cooperation and postoperative nursing. After emergency treatment and care,the patient's condition was stable,and transferred to the ICU for further treatment. On the 10th day of admission,the patient was stable and discharged. The patient was followed up for 2 months after discharge and was in good condition.

Key words: Neck Injuries, Airway Management, Tracheotomy, Emergency Nursing

PAN Yinzhi, YANG Minfei, YAO Xiaoyue. Emergency nursing care of a patient with blunt neck trauma combined with concealed tracheal injury[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(5): 433-435.

References

[1] Shemmeri E,Vallières E.Blunt tracheobronchial trauma[J]. Thorac Surg Clin,2018,28(3):429-434.
[2] Jain U,McCunn M,Smith CE,et al. Management of the traumatized airway[J]. Anesthesiology,2016,124(1):199-206.
[3] Kummer C,Netto FS,Rizoli S,et al.A review of traumatic airway injuries:potential implications for airway assessment and management[J]. Injury,2007,38(1):27-33.
[4] 白晶,栾永. 颌面颈部创伤患者的气道管理进展[J]. 国际麻醉学与复苏杂志,2018,39(1):53-57.
Bai J,Luan Y.Airway management of maxillofacial and neck trauma patients[J]. Int J Anesthesiol Resusc,2018,39(1):53-57.
[5] Hews J,El-Boghdadly K,Ahmad I.Difficult airway management for the anaesthetist[J]. Br J Hosp Med(Lond),2019,80(8):432-440.
[6] Hagberg C,Kaslow O.Difficult airway management algorithm in trauma updated by COTEP[J]. ASA Newsletter,2014,9(78):56-60.
[7] Antonescu I,Mani VR,Agarwal S.Traumatic injuries to the tra-chea and bronchi:a narrative review[J]. Mediastinum,2022,6:22.
[8] 郭平,李军,汪勇. 急危重症患者急诊抢救使用呼吸阶梯性治疗方法的疗效研究[J]. 世界复合医学,2021,7(1):83-85.
Guo P,Li J,Wang Y.Study on the curative effect of respiratory step therapy in emergency rescue for critically ill patients[J]. World J Complex Med,2021,7(1):83-85.
[9] 穆子涵,高巨,陈小萍,等. 经鼻高流量吸氧技术用于全麻诱导前预氧合的安全性和有效性:meta分析[J]. 中华麻醉学杂志,2022(8):932-940.
Mu ZH,Gao J,Chen XP,et al.Safety and efficacy of high-flow nasal oxygen for pre-oxygenation before anesthesia induction:a meta-analysis[J]. Chin J Anesthesiol,2022(8):932-940.
[10] 刘冰新,薛平,王芳芳,等. 多学科诊疗模式在PICC相关性血栓管理中的应用研究[J]. 护理研究,2018,32(16):2636-2638.
Liu BX,Xue P,Wang FF,et al.Application of multidisciplinary diagnosis and treatment model in PICC-related thrombosis management[J]. Chin Nurs Res,2018,32(16):2636-2638.
[11] Patel A,Saadi R,Lighthall JG.Securing the airway in maxillofacial trauma patients:a systematic review of techniques[J]. Craniomaxillofac Trauma Reconstr,2021,14(2):100-109.
[12] 卢玲,颜莉. 改良式气道管理车在急诊救治中的应用效果评价[J]. 循证护理,2022,8(7):980-983.
Lu L,Yan L.Evaluation of the application effect of the improved airway management vehical in emergency treatment[J]. Chin Evidence-based Nurs,2022,8(7):980-983.
[13] Apfelbaum JL,Hagberg CA,Connis RT,et al.2022 American Society of Anesthesiologists practice guidelines for management of the difficult airway[J]. Anesthesiology,2022,136(1):31-81.

[1]	YANG Muying, FAN Wenqi, HU Han. Early identification and emergency nursing of cerebral hemorrhage during dialysis in a maintenance hemodialysis patient [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 704-706.
[2]	WANG Shujun, LU Hongyan, YANG Linna. Interpretation of the group standard “Endotracheal Suctioning Technology for Adult Patients with Inhalation Injury after Tracheotomy” [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 569-573.
[3]	DING Youya, WANG Sa, YAN Danping, ZHOU Shuaishuai, WU Zuojia, WANG Yuwei. Nursing care of a patient with refractory hypokalemia caused by methanol poisoning [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 447-449.
[4]	CHEN Zhaofei, WANG Wei, ZHAI Zhenguo. Implementation and quality control of an integrated prevention and management strategy for venous thromboembolism [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 274-278.
[5]	YU Yanuo, SONG Yuhang, GAO Lingjie, LI Xiaobo. The application of clinical decision support system in emergency triage management：a scoping review [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 306-311.
[6]	GAO Binbing, WANG Sa, ZHOU Shuaishuai, ZHANG Yukun, WANG Yuwei. Emergency nursing of a patient with cardiac arrest caused by pulmonary embolism complicated by ruptured hepatic hemangioma [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 315-318.
[7]	XIA Zhiyuan, HE Jia, WANG Lixing, SHI Yirong, YANG Min, WANG Xun, HUANG Yanmei, LI Zhiyan, ZHANG Li. Interagency collaboration and emergency nursing care for patients with Gelsemium elegans group poisoning [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 77-79.
[8]	LIU Haijin, WU Biyu, CHEN Lanlan, LIN Caixia, CHEN Yueting, HUANG Qiongqiong. Design and application of an automatic refilling device for ventilator humidification chambers [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 123-128.
[9]	YANG Xiaohua, SUN Ting, WANG Ping, YAO Meiqi. Emergency treatment and warning for an elderly patient with severe hyponatremia caused by excessive water intake：a case report [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 995-997.
[10]	SI Tong, ZHOU Yong, WANG Shuang. Clinical characteristics and prevention of neurological symptoms induced by overhydration based on cases：from a physician’s perspective [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 998-1002.
[11]	ZHOU Huiyun, LUO Feixiang, SHEN Fei. Nursing of prone position ventilation under extracorporeal membrane oxygenation in a premature infant with acute respiratory distress syndrome [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 826-829.
[12]	CHEN Peng. Research progress of end tidal carbon dioxide monitoring in patients undergoing cardiopulmonary resuscitation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 891-896.
[13]	ZHOU Jun, CHEN Ruan, ZHU Jihua. Nursing care of a child with refractory mycoplasma pneumonia complicated with right ventricular thrombosis and pulmonary embolism [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 700-703.
[14]	WANG Sa, YAN Danping, LIU Yajie, ZHOU Shuaishuai, WANG Meiling, LIN Gaoxing, XU Shurong, ZHOU Guangju, WANG Yuwei. Neuro-monitoring and nursing management practice during the low perfusion period in emergency cardiac arrest patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 713-718.
[15]	LU Dianxia, MEI Yiju, CHEN Yu, CHEN Yuyue, WANG Ji, CAO Xueting, ZHANG Jinsong. Nursing care of a patient with severe frostbite caused by staying overnight in the wilderness after binge drinking in southern China [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 573-575.

Emergency nursing care of a patient with blunt neck trauma combined with concealed tracheal injury

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments