血浆置换在急性重度砷化氢中毒中的应用及护理  

The nursing care of patients with plasma exchange in the treatment of severe acute arsine poisoning

作　　者：王小红[1] 王贵芝[1] 夏春娟[1] 李连芳[1] 

机构地区：[1]首都医科大学附属北京朝阳医院职业病与中毒医学科,北京市100020

出　　处：《中华护理杂志》2009年第6期528-530,共3页Chinese Journal of Nursing

摘　　要：总结了13例应用血浆置换治疗急性重度砷化氢中毒患者的护理体会。早期进行血浆置换是迅速控制溶血、预防急性肾功能衰竭的有效措施。护理重点包括血浆置换前加强心理护理,重点做好血浆置换的护理,观察尿色变化,密切监测尿量,详细记录24h出入量,关注各项化验指标。经积极治疗和护理,13例患者均好转出院。This paper summarized the nursing care of 13 cases of plasma exchange in the treatment of severe acute arsine poisoning. The application of plasma exchange as early as possible is an effective measure to control hemolysisrapid rapidly and to prevent acute renal failure. The key points in nursing included strengthening psychological care before plasma exchange,focusing on close observation and monitoring during plasma exchange,such as urine color and urine output,recording detailed 24-hour intake and output and the laboratory indicators. After active treatment and nursing care,all the 13 patients got better and discharged.

关 键 词：急性砷化氢中毒 血浆置换 护理 

分 类 号：R473.5[医药卫生—护理学]