Ead Heather
Trillium Health Centre, Mississauga, Ontario.
Dynamics. 2003 Fall;14(3):9-12.
Laryngospasm is an emergency situation that requires rapid identification and resolution of the obstructed glottis. Although there is a low incidence of laryngospasm, it is important to remember that any patient has the potential for post-extubation laryngospasm. Nurses must know about the causes, risk factors and treatment for this respiratory emergency. This includes the plan of care and possible medications administered to assist in restoring the patient's airway. Nurses must be able to respond quickly to avoid complications such as noncardiogenic pulmonary edema (NCPE) and respiratory arrest. The triggers, signs and symptoms, and treatment of NCPE are also reviewed. Due to the risk of laryngospasm recurring or NCPE presenting itself, any patient who has had laryngospasm needs close monitoring for two to three hours after the laryngospasm has resolved. It is important for nurses to review the interventions for laryngospasm and NCPE prior to caring for a patient with this respiratory emergency.
喉痉挛是一种紧急情况，需要迅速识别并解除声门梗阻。尽管喉痉挛的发生率较低，但必须记住，任何患者都有拔管后发生喉痉挛的可能性。护士必须了解这种呼吸急症的病因、危险因素和治疗方法。这包括护理计划以及为协助恢复患者气道而可能使用的药物。护士必须能够迅速做出反应，以避免诸如非心源性肺水肿（NCPE）和呼吸骤停等并发症。本文还回顾了NCPE的触发因素、体征和症状以及治疗方法。由于存在喉痉挛复发或出现NCPE的风险，任何发生过喉痉挛的患者在喉痉挛缓解后都需要密切监测两到三个小时。在护理患有这种呼吸急症的患者之前，护士回顾针对喉痉挛和NCPE的干预措施非常重要。
