严重胸外伤镇痛护理.pdfVIP

实用临床殷商杂志 2011 年第 15 带第4 期 Journal of Cliniω1M创Jicine in Practice • 29 • 严重胸外伤镇痛护理 颜蕾 (江苏省整幢市人民院院，江苏盏罐， 2255ω) 摘要:阔的探H严1fi:胸外伤锁销护翔的要点。方法对 32 例严?我胸外伤患者采用数字疼痛评分尺(NRS)评估疼痛， 采用持续吗啡纯正入镇痛，实施镇痛护坷的干预措施。结果 32 例患者，赔愈tI1院 29 例，死亡 3 例。息荷疼痛被有效按制，药物 不良反庇轻微。篇论 严政胸部外伤I.l\者疼痛明显，必须做好疼痛评估、镇痛实施的计划及实施过程中的观察护理，加强镇痛 镇静后恢命体征的航测。 关键诩t 严敢胸外伤;镇痛:护理 中阳分类号: R473.6 文献标志码:A 文脏编号: 1672 叩 2353(2011)04 - 0029 忡。2 Pain killing care of patients with severe thoracic injury YAN Lei (JìangyJn 14ωμes HosþÌ时， }iang)O.n. }iang:刷.2255∞) ABSTRACf: Objective To investigate the clinical pain kil1ing care of patients with severe thoracic injury. Meth叫s Taking the number of rating scale (NRS) in our h呻i时 with pain in 32 cases of the grievous thoracic traurna to assess pain and to pump mo叩hine into vein ∞ntinuously and to take clinical analgesia nursing. Results With pain care and intervention given , patients pain re- lieved and the adverse drug reaction w幽 slight. Conclusions 丁he right of patients with severe tho帽 racic injury to a附捕 the state of pain and to implement pain killing scheme , to take appropriate l nursing of patients , the pain degr四 of patients w出 reduced significantly. Meanwhile , the patien恼 vital sign must be observed after pain intervention. KEY WORDS: sev四e thoracic i时川出; analgesia; nursing 严重低氧血症患者，需要呼吸支持。为利于疼痛 严重胸部外伤是胸外科常见的创伤性疾病， 评估与评价，本细除外早期死亡及合并颅脑损伤， 多由交通事故造成。胸部外伤常以多发性肋骨骨 折伴有肺棉伤及创伤性血气胸，同时多合并腹部 观察32 例患者。 1.2 方法 脏器损伤、四肢骨忻