[Security assortment and guarding method after tracheotomy].
OBJECTIVE
To discuss the assortment method of security and to find out measures in order to avoid the asphyxia death owing to obstruction and collapse of canal after tracheotomy.


METHODS
During the period from June 1998 to September 2003, 346 patients were operated the tracheotomy for different reasons. Then they were assorted according to the causes if there was an obstruction in superior airway, the patients' mental health, age and the capacity of saving themselves. We divided them into three kinds, which were security, dangerousness (temporalily or permanently) and relative dangerousness. The corresponding methods of operation therapy and nursing care had been proposed.


RESULTS
One hundred and sixty cases were the secure kind; 17 cases the dangerous kind (12 cases permanently, 5 cases temporalily), 169 cases the relatively dangerous kind. After adopting corresponding method of operation and nursing cars, the asphyxia death due to obstruction or collapse of canal didnt happen.


CONCLUSIONS
The security assortment has significance after tracheotomy for reducing the asphyxia death rate.
Lin
Jinchao
J
Department of Otorhinolaryngology, People's Hospital of Longhu District, Shantou, 515041, China.
Wang
Hao
H
Shen
Zhizhong
Z
Qiu
Huaguang
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D001237:Asphyxia / Q000517:prevention & control; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D014140:Tracheotomy / Q000379:methods / Q000451:nursing*