肺结核大咯血的诱发因素、先兆观察及急救护理.docVIP

肺结核大咯血的诱发因素、先兆观察及急救护理 　　[摘要] 目的 通过探讨肺结核大咯血患者的诱发因素和先兆表现的临床观察及采取有效的治疗和急救护理，以提高肺结核大咯血患者的抢救成功率。 方法 选择本院2011年1月～2012年12月收治的肺结核大咯血患者170例作为研究对象，分为2组，各85例，对照组实施常规护理，观察组对患者咯血前进行诱发因素和先兆观察、急救护理及复苏后的护理。 结果 对照组85例患者中9例经抢救治疗无效死亡，成功抢救76例肺结核大咯血患者，其中并发窒息者8例，失血性休克5例。观察组85例患者中，1例经抢救治疗无效死亡，成功抢救84例肺结核大咯血患者，其中并发窒息者2例，失血性休克3例， 观察组的抢救成功率为98.8%，显著高于对照组的抢救成功率89.4%，差异有统计学意义（P0.05）。 结论 通过对肺结核大咯血患者的临床细致观察和护理，发现诱发因素和咯血先兆，可以有效的提高肺结核大咯血的抢救成功率。 　　[关键词] 肺结核大咯血;诱发因素;先兆表现及观察;急救护理 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 2095-0616（2015）02-111-04 　　Predisposing factors， threatened observation and emergency care of tuberculosis hemoptysis 　　LIU Wei 　　Department of Medicine， Hospital for Infectious Diseases of Jinzhou City， Liaoning Province， Jinzhou 121000，China 　　[Abstract] Objective To investigate the clinical observation of predisposing factors and pre-performance and take effective treatment and emergency care of tuberculosis patients with massive hemoptysis， to improve the survival rate of patients with massive hemoptysis of pulmonary tuberculosis. Methods 170 cases of tuberculosis patients with massive hemoptysis treated in our hospital from January 2011 to December 2012 were selected as research subjects， who were divided into two groups， 85 patients in each， the control group received routine care， the observation group received predisposing factors， hemoptysis and pre-observation， care and emergency care after resuscitation. Results 9 cases died after emergency treatment in the control group of 85 patients ， successful rescue of 76 cases of pulmonary tuberculosis patients with massive hemoptysis， which complicated by asphyxia in 8 cases， 5 cases of hemorrhagic shock. 85 patients in the observation group， 1 patient died after emergency treatment ineffective， successful rescue of 84 cases of pulmonary tuberculosis patients with massive hemoptysis， including two cases of asphyxia complicated by hemorrhagic shock three cases， the survival rate was 98.8% in the observation group， it was significa