Mitate Eiji, Kubota Kensuke, Ueki Kenji, Inoue Rumi, Inoue Ryosuke, Momii Kenta, Sugimori Hiroshi, Maehara Yoshihiko, Nakamura Seiji
Section of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan ; Emergency and Critical Care Center, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
Emergency and Critical Care Center, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
Case Rep Emerg Med. 2015;2015:320357. doi: 10.1155/2015/320357. Epub 2015 Aug 27.
Communication is a serious problem for patients with ventilator-dependent tetraplegia. A 73-year-old man was presented at the emergency room in cardiopulmonary arrest after falling from a height of 2 m. After successful resuscitation, fractures of the cervical spine and cervical spinal cord injury were found. Due to paralysis of the respiratory muscles, a mechanical ventilator with a tracheostomy tube was required. First, a cuffed tracheostomy tube and a speaking tracheostomy tube were inserted, and humidified oxygen was introduced via the suction line. Using these tubes, the patient could produce speech sounds, but use was limited to 10 min due to discomfort. Second, a mouthstick stylus, fixed on a mouthpiece that fits over the maxillary teeth, was used. The patient used both a communication board and a touch screen device with this mouthstick stylus. The speaking tracheostomy tube and mouthstick stylus greatly improved his ability to communicate.
对于依赖呼吸机的四肢瘫痪患者来说，沟通是一个严重的问题。一名73岁男性从2米高处坠落，被送往急诊室时心脏骤停。成功复苏后，发现颈椎骨折和颈脊髓损伤。由于呼吸肌麻痹，需要使用带气管造口管的机械呼吸机。首先，插入带套囊的气管造口管和发声气管造口管，并通过吸痰管引入湿化氧气。使用这些管子时，患者能够发出语音，但由于不适，使用时间限制在10分钟以内。其次，使用了固定在上颌牙齿上的咬嘴式触控笔。患者使用这种咬嘴式触控笔配合交流板和触摸屏设备。发声气管造口管和咬嘴式触控笔极大地提高了他的沟通能力。
