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近年来,经口气管插管连接机械通气是对危重患者开放人工气道最重要且有效的方法。但此类患者不能经口进食,为了保证患者机体代谢需要,保证营养、药物供给,常给予鼻饲。危重症患者常伴有不同程度的意识障碍、长期卧床、腹压增高等,容易引起胃内容物反流。因此既要保证气道通畅,又要防止胃内容物反流,给护理工作增加了难度。现将护理体会报告如下。
In recent years, mechanical ventilation by orotracheal intubation is the most important and effective way to open the artificial airway in critically ill patients. However, such patients can not be consumed by mouth, in order to ensure the patient’s metabolic needs, to ensure nutrition and drug supply, often given nasal feeding. Critically ill patients are often accompanied by varying degrees of disturbance of consciousness, long-term bed rest, increased abdominal pressure, easily lead to reflux of gastric contents. Therefore, it is necessary to ensure airway patency, but also to prevent the reflux of gastric contents, to increase the difficulty of nursing. Nursing experience now report as follows.