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頁籤選單縮合
題名 | 成人病患拔管後喉咽水腫的原因、評估與處理=The Etiology, Evaluation and Management of Post-Extubation Laryngeal Edema in Adult Patients |
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作者 | 余澹盈; 陳曉宜; 吳昭儀; 張哲華; 邊苗瑛; | 書刊名 | 呼吸治療雜誌 |
卷期 | 13:1 2014.01[民103.01] |
頁次 | 頁37-50 |
分類號 | 415.4 |
關鍵詞 | 喉咽水腫; 拔管後喘鳴音; 呼吸道堵塞; 氣囊漏氣測試; Laryngeal edema; Post-extubation stridor; Upper airway obstruction; Cuff leak test; |
語文 | 中文(Chinese) |
中文摘要 | 喉咽水腫是放置氣管內管的成人病患拔管後,發生呼吸道堵塞合併呼吸困難的主要原因,嚴重者可能使病情惡化且需重新插管,造成使用呼吸器天數及住院天數均延長、死亡率升高並增加醫療資源的耗用。醫療人員如能早期評估高風險病患並及早處置,將可減少拔管失敗的機率,目前常使用的非侵襲性評估方法為氣囊漏氣測試 (cuff-leak test)。本文以文獻回顧的方式,探討氣囊漏氣測試的測量步驟及診斷標準,並說明拔管後發生上呼吸道堵塞的處置方法,以提供臨床參考及應用。 |
英文摘要 | Laryngeal edema is the most common complication after extubation and can cause upper airway obstruction with stridor and dyspnea in the adult patients. In severe condition, the patients usually deteriorate their general conditions and need to be re-intubated, prolong the days on mechanical ventilation and hospital stay, and increase the mortality rate and resources utilization. The early detection of the occurrence of upper airway obstruction can lower the risk of extubation failure. Cuff-leak test is the most common used non-invasive method to predict the occurrence of upper airway obstruction. Through the literature review, we will present the steps, diagnostic criteria and related therapeutic strategies of this test. The information provided in this article could help the clinicians in their practice. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。