CAJ | 학술논문

目的探讨术中并发急性肺栓塞的抢救与护理.方法回顾性分析1例双下肢骨折病例术中并发急性肺栓塞的抢救护理过程.结果拟定术中并发急性肺栓塞的抢救护理预案,本例患者抢救成功.结论患者长期卧床、术肢制动、下肢静脉血流缓慢、外伤是形成肺栓塞的主要危险因素.护理人员必须提高对肺栓塞的认识,密切观察病情变化及特点,准确评估和判断,争取抢救时间.协助医生尽快确诊,进行及时有效的溶栓抗凝治疗是抢救成功的关键.总结护理经验,制定护理预案,使患者转危为安是最终的护理目标.
목적 탐토술중병발급성폐전새적창구여호리.방법 회고성분석1례쌍하지골절병례술중병발급성폐전새적창구호리과정.결과 의정술중병발급성폐전새적창구호리예안,본례환자창구성공.결론 환자장기와상、술지제동、하지정맥혈류완만、외상시형성폐전새적주요위험인소.호리인원필수제고대폐전새적인식,밀절관찰병정변화급특점,준학평고화판단,쟁취창구시간.협조의생진쾌학진,진행급시유효적용전항응치료시창구성공적관건.총결호리경험,제정호리예안,사환자전위위안시최종적호리목표.
Objective To explore the first aid and nursing of the intercurrent acute pulmonary embolism in surgery. Methods Reviewing and analyzing the process of first aid and nursing in a case of intercurrent acute pulmonary embolism in the both legs fracture surgery. Results The case of intercurrent acute pulmonary embolism was successfully rescued by our pre-plan nursing. Conclusions Keeping lay up, limb braking, slow venous blood flow and trauma are the main factors influencing the incidence of pulmonary embolism. The nurses must enhance the knowledge of pulmonary embolism, observe the change of the situation frequently, make the true evaluation and judgment, and grasp the golden time for rescue. Helping doctors make the diagnoses as soon as possible and using thrombolytic and anticoagulant therapy in time were the key points of the successful first aid. The final targets of nurse were summarizing the experiences, making the nursing preplan of first aid and curing the patients.