CAJ | 학술논문

目的:总结支气管肺泡灌洗治疗重型颅脑损伤所致肺不张78例患者的护理体会.方法:所有患者的治疗均在ICU床旁进行,患者在吸纯氧3~5min(不脱开呼吸机)后进行纤支镜下支气管肺泡灌洗术治疗并进行有效护理.结果:患者动脉血氧分压上升、二氧化碳分压下降,呼吸衰竭纠正,无护理并发症发生.结论:完善的护理是保证患者完成治疗的前提,严密的术中观察及护理配合,对提高抢救成功率,降低死亡率,有重要的临床意义.
목적:총결지기관폐포관세치료중형로뇌손상소치폐불장78례환자적호리체회.방법:소유환자적치료균재ICU상방진행,환자재흡순양3~5min(불탈개호흡궤)후진행섬지경하지기관폐포관세술치료병진행유효호리.결과:환자동맥혈양분압상승、이양화탄분압하강,호흡쇠갈규정,무호리병발증발생.결론:완선적호리시보증환자완성치료적전제,엄밀적술중관찰급호리배합,대제고창구성공솔,강저사망솔,유중요적림상의의.
Objective:To summarize the 78 cases of nursing experience about using bronchoalve-olar lavage to treat pulmonary atelectasis which is caused by severe craniocerebral injury. Methods:All treatment of patients was received in the ICU. After inhaling pure oxygen 3 to 5min, without dis-connecting breathing machine, used bronchoalveolar lavage under the bronchofiberscope to treat and provided effective nursing. Results:The arterial partial pressure of oxygen of patients was rise, CO2 partial pressure was drop, respiratory failure was corrected, and had no nursing complication. Conclusion:Perfect nursing is the premise of guaranteeing patients completed treatment. Strict intra-operative observation and nursing cooperation have important clinical significance in improving the success rate of rescue and cutting the death rate.