ghd planchas Application of Foley's tube for Esoph

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Application of Foley's tube for Esophageal Foreign Body Care

Catheter. Foreign matter out of his mouth with the balloon upward. When the balloon reached after oropharynx. Quickly balloon out of the air with a syringe. Slide out from the nasal cavity so that gas eyelashes. 1.3 Results 1 66 cases of foreign body removed successfully. Remove l5 2 cases (of which cards have two coins in 2 cases). Remove l 3 cases (3 coins). A total of 56 out of coins. Coin diameter 2.1 ~ 2.8cm; steel ring 5; plastic buttons, each a heart-shaped sinkers. The rest are meaty bones, fish bones,[link widoczny dla zalogowanych], and bamboo and so on. Symptoms disappeared after removal of foreign body. I try to take 2l cases of failure. L6 cases where re-examination or by x ray examination confirmed esophageal foreign body has entered the stomach (l2 followed up for observation of patients by the fecal discharge. Transfected surgical treatment of 4 cases); switch to remove the 5 cases of esophageal examination. Foreign bodies are Routuan, cotton, vegetable pieces and chunks of barium, bone spurs and so on. 2 2.1 preoperative care and help doctors ① detailed history. Careful physical examination and the necessary support to pick investigation. Understanding of foreign bodies in shape, size, features, and retention of the site. Esophageal mucosal swelling. Patients with dehydration, exhaustion. Esophageal damage estimated heavier. Infusion should be thoroughly and add sufficient quantities of antibiotics used. To be generally a little better. Foreign body from again. ② strictly indications. The method of round,[link widoczny dla zalogowanych], smooth foreign body effect. Should be preferred. ⑧ suitable for the size of Foley's tube (adults generally l6 ~ l8 number. Pediatric lo ~ l4 number). Check the balloon for leaks. To explain to patients with access methods and matters of foreign body, eliminating fear. 2.2 Intraoperative cotton ball with mineral oil will Tucha Foley's tube front end side of the nasal cavity with a saline swab smear. Foley's tube surgery will be inserted by the nose. Instruct patient with swallow. Air bag light of x ray imaging to be beyond the foreign body,[link widoczny dla zalogowanych], the nurse to inject the air bag. Foley slowly dragged back the surgeon's control. When the foreign body up to the oropharynx research: Xiao Division Kam word (1997) No. o3,[link widoczny dla zalogowanych], the nurse whipped out the air. Remove foreign body from the patient population. And observe the patient's complexion. The nasopharynx to prevent vomiting caused by balloon tamponade, suffocation and other reactions. 2.3 Observation of post-operative care of patients with or without nasal bleeding. 8 patients in this group --- side of nasal bleeding. 1 case of nasal intubation because of continuous bleeding after the 2nd. After the bleeding stopped stuffing cotton balls ephedrine; on foreign stay> 72h of patients. Given anti-inflammatory treatment. 2.4 hygiene education as esophageal foreign bodies caused by poor diet or eating children playing. So. Patients or parents of children should be warned in time to prevent the selection and production of food mixed with foreign matter; eating should not be hurried. Do not talk and laugh, cry. Done slowly; special education children not to put coins on the mouth or toys; dentures should be prepared right. Dentures before going to sleep off the activities. Once the foreign body was found. Timely diagnosis and treatment. Avoid forced swallowing food. Do not use your fingers digging. Or use the wrong equipment forceps, pushing people to prevent the deep superficial foreign bodies. Cause more serious damage. Increase treatment difficult. 3 Discussion of esophageal foreign body. Remove the ball or mass will be seriously blocked outside the esophagus. General and the food has a certain gap between the wall. Class of foreign coins in this group was the lateral l pieces. 55 planar spaces. That between the foreign and the esophageal wall. There or so many before and after the gap. Esophageal balloon beyond the foreign body may be provided. The group failed cases. Because Routuan, vegetables with hanging blocks and spur more barium cotton, completely blocked the esophagus. Balloon can not pass. Such as the loss of foreign bodies and food left wins gap between the wall. Law will not proceed. Foley's tube tip. There is a small balloon for inflation. The nasal insertion. Because of its slim soft. Only people with epilepsy} appropriate swallow. Inflated balloon will expand to the surrounding evenly (some prickly foreign body esophageal wall. At this point it would be able to back off). Pull out catheters. Foreign bodies were entrusted in the air bag. Nursing care in the air bag safely on the move. Was taken from the E1 in the throat after the spit. The entire process. No violence. Will not damage the esophagus or other organizations. In particular, to take round, smooth foreign body even more so. Apart from a few patients in this group caused a small amount of nasal bleeding outside. Without any complications. This group of coins class-based. Case of selective application of spur type. Endoscopic esophageal foreign body paracentesis. Required equipment. Operation than complex. Check more painful and may cause serious complications; children generally require general anesthesia. L cases in this group, 1.5-year-old children, first pilot to take coins with esophagoscopy in children with asphyxia caused by failure of this method after the change. 1 success. The method is simple. Easy to learn. Patients with less pain. Without general anesthesia. Facilitate the implementation of the clinic. About the author: Hu Mingxia (1963 a), female. College. Charge nurse and head nurse. Received :2002-10-28; Revised: 2002 a l2-22 (this editor Wu Hongyan)
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