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題 名 | Tracheostomal Fire during an Elective Tracheostomy=進行選擇性氣管切開術時發生氣管切口起火燃燒 |
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作 者 | 林益弘; 黃仲鋒; 高怡芬; 張國安; 彭治平; | 書刊名 | 長庚醫學 |
卷 期 | 28:3 2005.03[民94.03] |
頁 次 | 頁186-190 |
分類號 | 416.2151 |
關鍵詞 | 氣管切開術; 起火燃燒; Tracheostomy; Fire; |
語 文 | 英文(English) |
中文摘要 | Some surgeries, a tracheostomy and oral surgeries in particular, have a higher risk of fire. Often it can occur when leaking flammable gas contacts an ignition heat source. Fire during a tracheostomy can sometimes be seen to produce different degrees of insult to the patient. The essential components of a fire, i.e., the fuel source, ignition, and an oxidizer, can be avoided or blocked in order to prevent fires from occurring. Herein, we discuss a fire during a tracheotomy, and ways to avoid its occurrence, and how to stop once it gets started. This case demonstrates 2 important points regarding tracheostomies. First, extreme caution should be exercised when cautery is used in an approximately 100% oxygen gaseous condition, and second, immediate extubation is not absolutely necessary if a fire breaks out during a tracheostomy. The procedures which can be taken when facing this type of emergency are also considered and discussed. |
英文摘要 | 部分手術,如氣管切開術及口腔內手術,會引發起火燃燒的高危險性。原因通常是易燃性氣體洩漏而接觸到發熱物所引起的。而在氣管切開術中所引起的燒灼,對病人造成不同程度的傷害。因此我們可以經由防止起火物、易燃物、和氧氣等物質的接觸,進而抑制燃燒發生。病例中詳述在氣管切開術中,如何能避免及阻止氣管切口燃燒起火的發生。我們在術中使用百分之一百的氧氣是需要謹慎的,若發生氣管切口起火燃燒後,立即的氣管內管拔除,並不一定是需要的。在本病例中也將討論當面對此種緊急情況的處置過程。 |
本系統中英文摘要資訊取自各篇刊載內容。