严重胸部创伤并发急性呼吸窘迫综合征32例临床护理  

Clinical nursing care in the treatment of 32 patients with acute respiratory distress syndrome caused by severe thoracic trauma

作　　者：许美春[1] 刘炳学[2] 

机构地区：[1]兖矿集团总医院东区急诊科,山东邹城273500 [2]济宁市第一人民医院

出　　处：《齐鲁护理杂志（下半月刊）（外科护理）》2009年第2期16-17,共2页Journal of Qilu Nursing

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1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。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 conditions. Mechanical ventilation was applied to the patients in each phase and the appropriate nursing measures 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： Concerning the patients with ARDS, strict observation of patient~ condition, ventilator - assisted breathing, respiratory management, active prevention of lung irffection and nutrition support are very important for further treatment.

关 键 词：胸部创伤 急性呼吸窘迫综合征 护理 

分 类 号：R473.6[医药卫生—护理学]