CAJ | 학술논문

目的探讨重症创伤患者肺栓塞的临床特点，提高临床护士对肺栓塞的认识，积极提供预防措施及有效的护理方法。方法回顾分析23例手术科室肺动脉栓塞的病因、临床表现、诊断及治疗。结果手术及创伤是重症患者肺栓塞发生的主要病因。临床症状多为呼吸困难、咯血或血痰、胸痛，甚至晕厥、呼吸心跳骤停。常见体征为呼吸频率增加，心率增加，血压下降，发热。23例患者中，11例死亡，病死率47.8%。5例行溶栓抗凝治疗,其中1例治愈，4例好转。结论手术及创伤后患者具有多种肺动脉栓塞的高危因素，易发生急性肺动脉栓塞，且病情凶险，病死率高。医务人员应提高对肺栓塞的认识，对高危人群采取有效的预防措施，以减少肺栓塞的发生，对该病进行早期诊断、治疗及采用恰当、有效的护理措施，降低肺栓塞的死亡率。
목적탐토중증창상환자폐전새적림상특점，제고림상호사대폐전새적인식，적겁제공예방조시급유효적호리방법。방법회고분석23례수술과실폐동맥전새적병인、림상표현、진단급치료。결과수술급창상시중증환자폐전새발생적주요병인。림상증상다위호흡곤난、각혈혹혈담、흉통，심지훈궐、호흡심도취정。상견체정위호흡빈솔증가，심솔증가，혈압하강，발열。23례환자중，11례사망，병사솔47.8%。5례행용전항응치료,기중1례치유，4례호전。결론수술급창상후환자구유다충폐동맥전새적고위인소，역발생급성폐동맥전새，차병정흉험，병사솔고。의무인원응제고대폐전새적인식，대고위인군채취유효적예방조시，이감소폐전새적발생，대해병진행조기진단、치료급채용흡당、유효적호리조시，강저폐전새적사망솔。
Objective To investigate the clinical features of pulmonary embolism for the severe patients, clinical nurses to improve the understanding of pulmonary embolism, active provision of preventive measures and effective care. Methods Retrospective analysis the causes of 23 cases of surgical department of pulmonary embolism, clinical manifestations, diagnosis and treatment. Results Surgery and trauma are the major cause of pulmonary embolism for the severe patients. The clinical symptoms include more difficulty in breathing, or hemoptysis , chest pain, or even syncope, respiratory cardiac arrest. Common signs for the increasing frequency of breathing, heart rate increased, decreased blood pressure, fever. 23cases of patients, 11 cases of death, mortality 47.8%. 5 routine thrombolysis anticoagulant therapy, one of them were cured, four cases improved. Conclusion Patients with multiple risk factors for pulmonary embolism after surgery and trauma, high incidence of acute pulmonary embolism, and the dangerous condition, the high mortality rate. Medical staff should raise the awareness of pulmonary embolism, take effective preventive measures to reduce the incidence of pulmonary embolism to the high-risk groups, the disease early diagnosis, treatment and the use of appropriate and effective care and measures to reduce the mortality rate of pulmonary embolism.