Therefore, there could be bleeding around the tracheostomy site.

因此，部位周围可能有出血。

Intubation or tracheostomy is done, should respiratory obstruction increase in spite of the above measures.

尽采取了上述措施，但仍有呼吸道阻塞加重，应行插或术。

The patient may have initial difficulty getting used to breathing via tracheostomy, along with apnea.

患者最初可能难以适应通过来呼吸，并伴有呼吸暂停。

Since the tracheostomy forces the air to bypass the vocal cords, patients would not be able to speak effectively.

由于术迫使空绕过声带，患者将无法有效说话。

Decannulation is basically the removal of the tracheostomy tube and shifting the patient back to normal breathing.

拔基本上是拔除造口，使病人恢复正常呼吸。

Complications Just like any invasive procedure, tracheostomy also has some potential complications.

并发症就像任何侵入性手术一样，术也有一些潜在并发症。

Similarly, there are various types of tracheostomy tubes each with specific functions.

同样，术所用导也有不同种类，每种都有特定功能。

Fourthly, if the patient has a cuffed tracheostomy in place, then the cuff should be deflated periodically to relieve pressure on the trachea.

第四，如果病人做了带套造口术，那么套应该定期放，以减轻压力。

In such cases, tracheostomy allows suctioning of the secretions and the cuff of the tracheostomy reduces further aspiration of secretions.

在这种情况下，术可以吸入分泌物，而术导可以减少进一步分泌物吸入。

So in such patients, tracheostomy is done.

因此，这样病人，要做术。

Different varieties of tracheostomy tubes include cuffed, non cuffed, double lumen tubes, tubes with speaking valves, metallic tubes, and so on.

不同种类造口包括带套、没有套、双腔、带发声阀、金属等。

Decannulation If the patient improves and the healthcare team determines that tracheostomy is no longer necessary, then a trial of decannulation should be attempted.

拔如果患者病情好转，且医疗团队确定不再需要，则应尝试拔。

(3) If patient has respiratory insufficiency, e. g. chronic lung diseases, then tracheostomy might help oxygen ventilation by reducing respiratory dead space.

(3)如患者有呼吸功能不全，如慢性肺部疾病，则术可减少呼吸死腔，帮助氧通。

And I was trached (the procedure called tracheostomy) until I was seven years old, when the paralyzed vocal cord started to move, not all the way, but enough.

直到我七岁时称为造口术手术，瘫痪声带始动，虽然不是一直动，但已经足够了。

Type of Tracheostomy There are various types of tracheostomy procedures, depending on the circumstances of the patient and the treatment intent.

术类型根据病人情况和治疗目，术方法有很多种。

The tracheostomy forces the air to bypass the nasal and oral passages, hence the air entering the tracheostomy is not adequately humidified.

术迫使空绕过鼻腔和口腔通道，因此进入术空没有充分湿化。

Because these secretions may lead to crusting and blockage of the tracheostomy tube, the first point regarding care is adequate suctioning of the secretions through the tracheostomy tube.

因为这些分泌物可能会导致造口结痂和堵塞，所以护理第一要点就是通过造口充分地吸出分泌物。

The skin incision is closed and the tracheostomy tube is secured to the skin via stitches or simply tied around the neck.

皮肤口关闭，造口通过缝合或简单地绑在脖子上固定在皮肤上。

In case the tracheostomy tube is damaged, infected, occluded or non-functioning in any way, then a new tube should be inserted in place of the old one, under expert supervision.

如果术插损坏、感染、阻塞或以任何方式不起作用，则应在专家监督下插入新代替旧。

This can be done with humidified air attached to the tube, placing a humidifier or steam near the patient's bed or applying a wet porous gauze onto the tracheostomy tube, although the latter is considered a crude measure.

这可以通过将加湿空附在子上，在患者床边放置加湿器或蒸汽，或者在造口上用湿润多孔纱布来实现，尽后者被认为是一种粗糙方法。