Therefore, there could be bleeding around the tracheostomy site.

因此，气管切部位周围可能有出血。

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

尽管采取了上述措施，但仍有呼吸道阻塞加重，应行气管插管或气管切。

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气管切来呼吸，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.

由于气管切迫使空气绕过声带，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.

拔管基本上是拔除气管造口管，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一样，气管切也有一些潜在的并发症。

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

同样，气管切所用的导管也有不同的种类，每种都有特定的功能。

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，如果病人做了带套囊的气管造口，那么套囊应该定期放气，以减轻气管的压力。

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，气管切可以吸入分泌物，而气管切的导管可以减少进一步的分泌物吸入。

So in such patients, tracheostomy is done.

因此，这样的病人，要做气管切。

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

不同种类的气管造口管包括带套囊的管、没有套囊的管、双腔管、带发声阀的管、金属管等。

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

拔管如果患者病情好转，且医疗团队确定不再需要气管切，则应尝试拔管。

(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，则气管切可减少呼吸死腔，帮助氧通气。

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.

直到我七岁时称为气管造口的手，瘫痪的声带始动，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.

气管切的类型根据病人的情况和治疗目的，气管切的方法有很多种。

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

气管切迫使空气绕过鼻腔和口腔通道，因此进入气管切的空气没有充分湿化。

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气管造口管结痂和堵塞，所以护理的第一要点就是通过气管造口管充分地吸出分泌物。

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

皮肤切口关闭，气管造口管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.

如果气管切插管损坏、感染、阻塞或以任何方式不起作用，则应在专家的监督下插入新管代替旧管。

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.

这可以通过将加湿的空气附在管子上，在患者床边放置加湿器或蒸汽，或者在气管造口管上用湿润的多孔纱布来实现，尽管后者被认为是一种粗糙的方法。