Tracheostomy and posterior wound wounds do not grow well 20

Lung infection secondary to head injury is very common, usually a tracheotomy is performed to help ventilation, and extubation can be done after the infection subsides

The trachea is a hard throat and should not be sutured; There are few muscles between the trachea and the epidermis, if you want to suture, you can only do ** surface sutures, here, when there is secretion in the trachea and lungs, part of the secretions will be discharged between the incision trachea and the epidermal incision due to breathing and coughing, and at the same time, the exhaled air will also run into more and run out less, preventing local growth, and it is easy to cause secondary infection, making it difficult to heal. If the epidermis is inverted due to breathing movements after suturing, it is more difficult to heal.

The correct treatment only needs to be extubated, apply a sterile gauze on the surface of the incision, disinfect and remove secretions every day, and then apply a sterilized gauze block, if there is no cough, it can generally heal in about 10 days. My dad had a similar situation.

Your husband's current situation, it is best to deal with the incision first, apply the medicine (apply sterile gauze blocks) after debridement according to the above method, do a good job of anti-inflammatory and anti-inflammatory**, increase nutrition (you can make fish soup), and if there is no cough, it can be healed in about 10 days.

Tracheostomy is a common operation in neurosurgery, from what you said about your father's injury and related symptoms, the analysis should be that the left side of the brain is damaged, and tracheostomy is a routine operation, mainly because the doctor considers that the patient may not be awake in the short term, and may cause lung infection, resulting in insufficient lung function, poor ventilation, and then cause ischemia and hypoxia of brain tissue, aggravate cerebral edema, and affect health recovery, so it is appropriate to choose organ incision.

It has been 3 months since your father removed the tracheal cannula, and the tracheostomy should have healed, but according to you, there are still self-paresthesias and slurred speech, which are caused by brain damage on the one hand, and on the other hand, local nerves, such as recurrent laryngeal nerves, etc., may be touched during the operation, and temporary hoarseness may also be caused, which is a common complication of tracheostomy surgery, and on the other hand, it may also be caused by psychological factors.

Overall, your father's overall recovery is still good, but when it comes to whether he will be affected after speaking, there is no positive answer, and he can generally recover, but it is impossible to give a specific timeline. I think that at present, we should first focus on limb function exercises, and strive to restore the mobility of the right limb, of course, this is the same as the recovery of language function, no special **, it takes time to prove.

I wish your father a speedy **.

This is very common! I try to make it clear in three sentences!

1. Inflammation is bacterial infection, and it is necessary to choose the right antibiotic to fight infection

2. Most of the reasons for non-healing of tracheostomy are active bleeding in the incision, or incomplete hemostasis during incision, and some elderly or malnourished people will also experience delayed healing and even infection!

3. If you are infected, you should properly open the wound and change the dressing!Wait until there is no oozing before suturing it!

Plug the tube for 2 days and 3 days, if there is no problem, you can pull out the cannula, paste a butterfly tape on the outside of the incision, and it will grow in about three or five days.

It depends on the patient's current condition, can live with a tube after weaning, the underlying disease has been cured, and the nutritional status is good, and the patient can try to extubate. It is necessary to determine whether breathing can be stable after extubation, and if so, the wound will generally heal, but there may be sequelae.