143•临床护理•2023年7月第21卷第20期中国医药指南1例脑出血气管切开术后拔管困难患儿的康复护理陈丽辉（中山大学附属第八医院神经外科，广东深圳518000）【摘要】总结1例脑出血气管切开术后留置气管套管8个月出现拔管困难患儿的康复护理体会，包括严格把控堵管、拔管指征，分析试堵管失败原因，注重患儿口鼻呼吸功能训练、心理干预、呼吸肌功能的保护与锻炼以及呼吸功能训练，加强肢体功能锻炼与营养支持。经过精心的护理、康复训练以及治疗，患儿成功拔除气管套管，康复出院。本病例强调了长期留置气管套管拔管困难中口鼻呼吸训练、心理因素对患儿的重要影响，为临床上处理气管切开术后拔除气管套管提供了参考。【关键词】脑出血；气管切开；拔管困难；康复护理中图分类号：R743.34；R322.3+3文献标识码：B文章编号：1671-8194（2023）20-0143-03RehabilitationNursingofaChildwithDifficultyinExtubationafterIntracerebralHemorrhageafterTracheotomyCHENLihui(DepartmentofNeurosurgery,the8thAffiliatedHospitalofSunYatSenUniversity,Shenzhen518000,China)[Abstract]Summarizetherehabilitationnursingexperienceofachildofcerebralhemorrhagewithtrachealcannulaindwellingfor8monthsaftertracheotomy,anddifficultyinextubation.Includingstrictcontroloftheblockedtube,extubationindication,analysisofthefailureofthetesttube,attentiontothepatient'smouthandnoserespiratoryfunctiontraining,psychologicalintervention,respiratorymusclefunctionprotectionandexercise,andrespiratoryfunctiontraining,strengtheningphysicalexerciseandnutritionalsupport.Aftercarefulnursing,rehabilitationtrainingandtreatment,thechildsuccessfullyremovedthetrachealtubeandrecoveredandwasdischarged.Thiscaseemphasizestheimportantinfluenceoforalandnosebreathingtrainingandpsychologicalfactorsonchildreninthedifficultextubationofalong-termindwellingtrachealtube,andprovidesareferencefortheclinicaltreatmentofchildren'strachealtuberemovalaftertracheotomy.[Keywords]Cerebralhemorrhage;Tracheotomy;Difficultyinextubation;Rehabilitationnursing气管切开是抢救急危重症患儿生命的一项重要措施，主要适用于维持气道通畅、解除气道梗阻、增加通气量。当患儿病情平稳后需尽快拔除气管套管，恢复患儿的发音功能与气道的正...
