新生儿呼吸机管路的积水问题
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摘要
分析新生儿呼吸机管路积水的原因,并提出解决办法。结合医院新生儿科现有患者新生儿呼吸机使用状况和临床一线的实践情况,理论结合实际,分析问题。管道积水生成主要原因是温度差导致的冷凝现象以及新生儿呼吸机和湿化罐在配套管路下的过度补偿。呼吸机管路积水现象常见于呼吸机治疗的过程,在新生儿科呼吸机的使用过程中尤为严重和明显。若不对管路里留存的水及时清理,会对新生儿造成气管堵塞以及院内感染问题,同时过多的水会损坏呼吸机呼气阀和传感器。新生儿呼吸机积水问题广泛存在于新生儿的救治过程中,危害大,需要临床、医学工程人员和医疗器材提供方提高重视,通过科学管理和采取创新科研方式减少此现象的出现。
Objective The purpose of this study is to explain the causes of neonatal ventilator pipeline water, and puts forward the solutions. Methods Based on the existing neonatal ventilator usage and clinical practice in neonatal department of Women's Hospital, School of Medicine, Zhejiang University, combining theory and practice, probloms are analyzed. Results The main reasons are that neonatal ventilator pipes generate condensation temperature difference and the neonatal ventilator humidification supports the pipeline under excessive compensation. The phenomenon of water is common in ventilator ventilation, particularly serious and obvious in the treatment usingneonatal ventilator. If the remaining water in the pipeline can not be cleaned in time, pipe blockage and hospital infection will appear;at the same time, too much water will damage the ventilator exhalation valve and sensor. Conclusion Neonatal ventilator water problems exist in a wide range of neonatal treatment process, and are harmful. Clinical, medical engineering staffs and medical equipment providers should increase attention, and take the innovation of scientific research management to reduce the phenomenon.
Objective The purpose of this study is to explain the causes of neonatal ventilator pipeline water, and puts forward the solutions. Methods Based on the existing neonatal ventilator usage and clinical practice in neonatal department of Women's Hospital, School of Medicine, Zhejiang University, combining theory and practice, probloms are analyzed. Results The main reasons are that neonatal ventilator pipes generate condensation temperature difference and the neonatal ventilator humidification supports the pipeline under excessive compensation. The phenomenon of water is common in ventilator ventilation, particularly serious and obvious in the treatment usingneonatal ventilator. If the remaining water in the pipeline can not be cleaned in time, pipe blockage and hospital infection will appear;at the same time, too much water will damage the ventilator exhalation valve and sensor. Conclusion Neonatal ventilator water problems exist in a wide range of neonatal treatment process, and are harmful. Clinical, medical engineering staffs and medical equipment providers should increase attention, and take the innovation of scientific research management to reduce the phenomenon.
引文
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[11]贺芬萍,滕林海,王娜,等.双加热丝呼吸机湿化管道系统对患者呼吸机相关性肺炎的影响[J].当代护士(综合版),2012,18(11):39-40.
[12]覃铁和,蒋文新,陈向阳,等.双加热式呼吸机湿化管道系统对通气相关性肺炎的影响[J].广东医学,2006,27(4):492-493.
[13]刘春晖,蒋娜,胡宇,等.双加热式呼吸机湿化管道系统的使用效果分析[J].中国医学装备,2010,7(3):53-55.
[14]席惠君.巧用负压吸引装置处理呼吸机加热器内湿化水过多[J].全科护理,2010,8(10):918.
[15]彭万军.对密闭式双加热丝式呼吸机通气管道系统内细菌样本进行细菌培养结果的分析[J].当代医药论丛,2016,14(10):33-34.
[16]黄碧灵,蓝惠兰,陈瀚熙,等.一次性密闭式双加热呼吸机湿化管道系统更换频率的研究[J].中国实用护理杂志,2012,28(7):1-3.
[2]毛彦华,刘锦铭.呼吸机相关性肺炎危险因素研究[J].中华医院感染学杂志,2011,21(12):2438-2440.
[3]邓毅,欧维琳.新生儿呼吸机相关性肺炎研究进展.华夏医学,2017,30(2):176-180.
[4]张培霞.新生儿呼吸机相关性肺炎的临床研究[J].中国实用乡村医生杂志,2015,(2):44-45.
[5]胡德飞,罗孝华,钟世冰.无创呼吸机治疗新生儿呼吸衰竭的有效性分析[J].中国医疗器械信息,2016,22(18):61-62.
[6]薛凤娟.呼吸机管路集中消毒对新生儿呼吸机相关性肺炎的影响[J].医学与哲学,2014,35(8B):57-58,61.
[7]张海燕,缪彩红,汪海燕,等.强化冷凝水控制对呼吸机相关性肺炎的影响[J].护理学杂志,2013,28(5):56-57.
[8]黄翠美.呼吸机管道积水形成的原因分析及护理对策[J].特别健康:下,2014(8):140.
[9]谭伟,代冰,孙龙风,等.MR410与MR850湿化系统对有创机械通气患者湿化效果的比较[J].中国呼吸与危重监护杂志,2012,11(5):470-474.
[10]陈焕林,朱光贤,王雄,等.带套囊与无套囊气管导管在小儿全麻中的应用比较[J].现代中西医结合杂志,2014,23(23):2599-2601.
[11]贺芬萍,滕林海,王娜,等.双加热丝呼吸机湿化管道系统对患者呼吸机相关性肺炎的影响[J].当代护士(综合版),2012,18(11):39-40.
[12]覃铁和,蒋文新,陈向阳,等.双加热式呼吸机湿化管道系统对通气相关性肺炎的影响[J].广东医学,2006,27(4):492-493.
[13]刘春晖,蒋娜,胡宇,等.双加热式呼吸机湿化管道系统的使用效果分析[J].中国医学装备,2010,7(3):53-55.
[14]席惠君.巧用负压吸引装置处理呼吸机加热器内湿化水过多[J].全科护理,2010,8(10):918.
[15]彭万军.对密闭式双加热丝式呼吸机通气管道系统内细菌样本进行细菌培养结果的分析[J].当代医药论丛,2016,14(10):33-34.
[16]黄碧灵,蓝惠兰,陈瀚熙,等.一次性密闭式双加热呼吸机湿化管道系统更换频率的研究[J].中国实用护理杂志,2012,28(7):1-3.