重度颅脑损伤合并神经原性肺水肿机械通气的观察与护理  

Nursing Care of Cerebral Injury Patients Complicated with Neurogenic Pulmonary Edema undergoing Mechanical Ventilation

作　　者：杨猛[1] 范淑梅[1] 任冬晗[1] 孙书钢[1] 

机构地区：[1]哈尔滨医科大学附属一院神经外科,黑龙江哈尔滨150001

出　　处：《现代生物医学进展》2009年第16期3123-3124,3122,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨重型颅脑损伤合并神经原性肺水肿(NPE)病人机械通气的护理经验,提高此类病人的治疗成功率。方法:回顾性分析2000年～2007年18例颅脑损伤患者合并NPE的临床护理资料,对这些患者进行了机械通气治疗,观察和总结护理的临床效应。结果:18例患者中肺水肿消退11例,死亡7例。11例存活患者经过随访,死亡4例,植物生存1例,重残1例,中残2例,好3例。结论:重型颅脑损伤合并NPE预后不良,死亡率高;机械通气是治疗NPE的有效方法,正确积极的护理可提高患者的治愈率。Objective： To explore the nursing experience for the neurogenic pulmonary edema （NPE） occurred after cerebral injury, and to improve the success rate of treating. Methods： 18 patients with NPE were reviewed from 2000 to 2007 and the methods of nursing care were concluded. Results： The pulmonary edemawas disappeared in eleven patients and seven patients died due to NPE. After following up for 3 to 12 months, four died and one got to vegetable state, one severely disabled, two middle disabled and three well recovered. Conclusions： Patients with cerebral injury complicated with NPE had a bad prognosis. Ventilation was an effective method for the treatment of NPE and might improve the recovery rate of the patients.

关 键 词：重型颅脑损伤 神经原性肺水肿 机械通气 护理 

分 类 号：R473.6[医药卫生—护理学]