体表标识法在胸外伤患者振动排痰中的作用  

The application of body surface marking in vibration expectoration for patients with chest trauma

作　　者：廖浩[1] 程薇[1] 郑聪[1] 陈卓敏[1] 裴春敏[1] 

机构地区：[1]解放军第94医院急诊中心ICU,江西省南昌市330002

出　　处：《中华护理杂志》2009年第12期1077-1078,共2页Chinese Journal of Nursing

摘　　要：为更好地提高胸部外伤患者振动排痰的效果,避免继发性再损伤,釆用体表标识法振动排痰。通过查看胸部CT或X线检查结果,确定损伤具体位置和范围。用红、绿2种颜色的彩笔在患者体表标出排痰禁区及重点排痰区,用排痰机在痰液积蓄区或肺不张区进行排痰,使排痰过程中能有效地避开骨折损伤部位,减轻疼痛,避免继发性再损伤。针对积痰区及肺不张处实施个体化的有效排痰,提高了排痰效果。但必须动态参考检查结果,准确标好体表标识图。In order to improve the efficacy of vibration expectoration and prevent secondary injury in patients with chest trauma,the body surface marking method was used in vibration expectoration. The exact injured locations and areas were identified via CT or X-ray results. Then,the restricted and focused areas of expectoration were marked with red and green colors, which could guide the machines to avoid the fracture sites,reduce pain,prevent secondary injury and administrate effective expectoration in the areas of sputum and atelectasis. However,the dynamic CT or X-ray results must be used for reference to ensure the accuracy of the body surface marking.

关 键 词：胸部损伤 体表标识 痰 引流 

分 类 号：R473.6[医药卫生—护理学] R734.2[医药卫生—临床医学]