多发性腹部外伤伴休克并发腹内高压的早期监测及护理.docVIP

精品论文 参考文献 多发性腹部外伤伴休克并发腹内高压的早期监测及护理 刘红丽 刘春 赵晓亮 于彩霞 高福春 宋慧芳 　　（滦县人民医院 河北 唐山 滦县 063700） 　　【摘 要】目的：探究多发性腹部外伤伴休克并发腹内高压在临床上的早期监测及其护理状况。方法：针对本院2010年3月~2014年5月入住的25例患者进行临床分析，多发性腹部外伤伴休克并发腹内高压患者当中，其中并发腹腔高压患者有17例，分别对这些患者进行循环系统、呼吸系统以及肾功能的监测及其功立通下减压治疗方式进行护理。此外还需要对治疗过程中由于血容量不足的患者进行及时的氧疗，并且调整其氧疗的计划，同时根据患者的尿量调整输液速度，及时观察患者的症状。结果：采用IAP监测、循环系统监测、呼吸系统监测、肾功能监测以及通里功下减压治疗的护理方式有效改善了患者的症状，在临床效果中具有一定的疗效。结论：针对多发性腹部外伤伴休克并发腹内高压患者采取系统监测以及临床护理之后，患者的症状有了明显改善，具有一定的统计学分析意义。 　　【关键词】多发性腹部外伤；休克；腹内高压；监测；护理 　　【中图分类号】R473.5 【文献标识码】B 【文章编号】1004-6194（2015）01-0305-02 　　Early monitoring and nursing of multiple abdominal trauma with shock complicated with intra-abdominal hypertension 　　Liu Hongli Liu Chun Zhao Xiaoliang Yu Caixia Gao Fuchun Song Huifang 　　Luanxian peoples Hospital of Hebei Province, Tangshan City Luanxian 063700 　　【Abstract】Objective: To explore multiple abdominal trauma with hemorrhagic shock complicated with intra-abdominal hypertension in clinical monitoring and nursing care of early. Methods:clinical analysis on 25 cases in our hospital in 2010 March ~2014 year in May admitted patients,multiple abdominal trauma patients with hemorrhagic shock complicated with intra-abdominal hypertension, the patients complicated with intra-abdominal hypertension in 17 cases, each of these patients with circulatory system, power monitoring and respiratory system and the renal function of the naolitong under decompression the way of nursing. In addition to the need of oxygen therapy in a timely manner due to insufficient blood volume in patients in the treatment process, and adjust the oxygen therapy plan, at the same time according to the urine volumeadjust the infusion rate of patients, timely observation of symptoms. Results: to effectively improve the symptoms of patients with the nursing mode of IAP monitoring, monitoring of circulatory system, respiratory system, monitoring of renal function monitoring and Tongli powerdecompression, has certain curative effect in clinical effect. Co