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目的探讨机械通气病人意外拔管的原因与预防措施。方法对接受机械通气治疗的408例患者,记录发生意外拔管的次数,当时的人工气道方式和可能的原因,发生意外拔管后对患者的影响及处理方式。结果有26例发生意外拔管,占5.8%。结论对建立人工气道的患者应高度重视对意外拔管的预防,肢体约束、适度镇静、充分沟通、正确固定气管套管及呼吸机管道、选择合适的气管套管型号和置管深度是有效的护理对策。
Objective To investigate the causes and preventive measures of accidental extubation in patients with mechanical ventilation. Methods A total of 408 patients undergoing mechanical ventilation were enrolled in this study. The number of accidental extubation, the type of artificial airway at that time, and the possible causes were recorded. The patients were treated with accidental extubation and the treatment was performed. Results of 26 cases of accidental extubation, accounting for 5.8%. Conclusion The patients with artificial airway should attach great importance to the prevention of accidental extubation, limb restraint, moderate sedation, adequate communication, proper fixation of tracheal tube and ventilator tube, and select the appropriate tracheal tube model and depth of catheter is effective Nursing measures.