严重胸部创伤并发急性呼吸窘迫综合征32例临床护理.pdfVIP

齐鲁护理杂忐2∞9 年第 15 卷第4 期 严重胸部创伤并发急性呼吸窘迫 综合征 32 例临床护理 许姜春1 ，刘炳学2 (1.充矿集团总医院东区急诊科 山东邹域273500;2. 济宁市第一人民医院) 摘 要 目的:探讨严重胸部创伤并发急性呼吸窘迫综合征(ARDS) 的护理方法。方法:对32 例严重胸部创伤并发 ARDS;患者进行分期，各期均给予机械通气，实施相应的护理措施。结果:本组先兆期 ARDS 死亡 l 例，早期死亡3 例，晚 期死亡9 例。结论:对严重胸部创伤并发 ARDS 的患者，做好严密观察病情、呼吸机辅助呼吸、呼吸道管理、积极防治肺 部感染、营养支持十分重要，且为进一步治疗提供了有力条件。 关键词 胸部创伤;急性呼吸窘迫综合征;护理 中固分类号:R473.6 文献标识码:A 文章编号:I(脱-7256(2α)9 )04- ∞16 -02 Clinical nursing care in the treatment of 32 patients with acute respiratory distress syndrome 臼used by severe thoracic trauma Xu Mei -chun ， μu Bing -xue ( General Hospital of Yankuang Group , Zoucheng , Sharuùmg 2735∞， China) Abstract Objective: To explore the nursing methods in the treatment of acute respiratory distress syndrome (ARDS) caused by severe thoracic trauma. Methods: Firstly 32 patients with ARDS were classified by phases according to their condi- tions. M时hanical ventilation was applied to the patients in each phase and the appropriate nursing me创口res were taken at the same time. Results: One patient died in premonitory period; 3 patients died at early stage and 9 patients died at advanced stage. Conclusion: Conceming the patients with ARDS , strict observation of patients condition , ventilator - assisted breathing , respira- t。可 management ， active prevention of lung infection and nutrition support are very important for further treatment. Key words Thoracic trauma; Acute respirat。可 distress syndrome; Nursing 2∞2 年6 月 -2∞7 年6 月，我们共收治严重胸部创伤并 (28.1%) ;治愈 19 例(59.4%) 。行气管切开8 例，气管切开 发急性呼吸窘迫综合征(ARDS) 患者 32 例，经积极治疗与精 后无气管狭窄等并发症发生。 3 护理 心护理，取得满意效果。现将护理体会报告如下。 l 资料与方法 3. 1 严密观察病情 ARDS 危及生命且病情发展快，因此早 1. 1 临床资料 本组32 例，男 22 例，女 10 例;年龄 18 -62