关键词: 气管, 封闭性, 气管断裂, 体外膜肺氧合, 护理

Abstract:

This article is to summarize the postoperative nursing experience of a patient with tracheal rupture caused by automobile accident,who underwent tracheal rupture repair and was assisted by ECMO （extracorporeal membrane oxygenation）. Nursing points include as the following. The first is to strengthen airway management and prevent anastomosis from accidentally rupturing again. Secondly,to monitor oxygenation index to ensure the normal operation of ventilator and ECMO. The third one is to prevent and control infection to avoid difficult healing of cracks. Fourthly,systemic anticoagulation is monitored dynamically in order to reduce bleeding. Finally,analgesic sedative drugs are properly used,so as to reduce the occurrence of complications. Doctors successfully completed the tracheal rupture repair with the assistance of ECMO. After careful treatment and nursing care,the patient was disengaged from medical machines 5 days later,and was transferred to cardiothoracic surgery department 28 days later for further treatment. He recovered and was discharged from the hospital 53 days later.

Key words: Trachea, Closed, Trachea Fracture, Extracorporeal Membrane Oxygenation, Nursing Care