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非计划拔管又称自我拔管或意外拔管,指患者的插管意外脱落或未经医护人员同意将插管自行拔出,或其他原因(包括医护人员操作不当)造成的插管脱落。非计划拔管可导致患者窒息、气道损伤、病情加重,严重的可危及生命,大大地增加院内感染的概率,延长患者住院时间,还可能导致医疗纠纷。因此,分析患者非计划性拔管的原因及护理对策,对提高护理质量有很重要的意义。
Unplanned extubation, also known as extubation or accidental extubation refers to the patient’s intubation accidental fall off or intubation without the consent of medical staff to pull out, or other reasons (including health care workers improper operation) resulting intubation. Unplanned extubation can lead to asphyxia, airway injury, exacerbations, serious life-threatening conditions, a substantial increase in the probability of nosocomial infections, prolonged hospital stays, and medical disputes. Therefore, the analysis of patients with unplanned extubation causes and nursing strategies, to improve the quality of care is very important.