How should the old man with tracheal obstruction be treated?
summary
How to treat tracheobronchial obstruction in the elderly is mostly caused by chest injury and comprehensive head injury. Other common trauma factors include long-term alcoholism, improper treatment in medical operation, and abuse of anesthetics. Generally speaking, the symptoms of patients in the early stage of onset include shortness of breath, respiratory distress, respiratory distress, etc It is difficult to breathe and the skin and mucous membrane show abnormal color. During the process of breathing, patients often have a large gasp, which is dangerous.
How should the old man with tracheal obstruction be treated?
At this time, if we do not take measures, it is easy to lead to physical overdraft and coma, leading to respiratory failure. Patients with severe hypoxia will have faster heart rate, weak pulse, sweating and pale complexion. After stabilizing the patient's condition, comprehensive examination is needed to check the pharynx, larynx, neck and chest to find out the cause and take the best treatment measures.
For patients with tracheal obstruction, the key to treatment is to remove the obstruction in the trachea, help patients recover their trachea, and prevent complications. For patients with tracheal obstruction caused by body position, first of all, it is necessary to thoroughly remove the abnormal secretions in the mouth, nose and throat of the patients, so as to keep the respiratory tract of the patients unblocked. It can also assist the use of tracheal intubation to help the patients breathe. If the patient's condition is more serious, tracheotomy is needed to reduce the neck edema of the patients, Relieve the symptoms of tracheal obstruction.
Most patients with thoracic traumatic tracheal obstruction are caused by internal rib fracture or contusion pneumonia, and their dyspnea is also caused by the accumulation of blood or abnormal secretions in the respiratory tract, so they need to use the nose and trachea to suck out the blood in the patient's trachea, and in the process of recovery, the patient may not be able to cough like a normal person, It can also lead to re aggregation of secretions and induce complications.
matters needing attention
Surgical treatment mainly includes tracheotomy and cricothyroidectomy. For patients with injury and bleeding, it is suitable for cricothyroidectomy. Emergency tracheotomy is mostly used for patients with mechanical obstruction of upper respiratory tract, or patients with more secretions in the trachea and can not be drained. In the usual nursing, the diet should pay attention to eat less stimulating food, Such as pepper, ginger, etc., eat more copper rich food, such as beans, straw mushroom, etc., maintain indoor air circulation, and timely observe the patient's breathing, pulse and other vital signs.