群体烧伤伴吸入性损伤患者呼吸系统并发症的预防  

Prevention for respiratory complications in a group of burn patients with inhalation injury

作　　者：都勇 陈华清 卢福长 夏一兰[1] DU Yong;CHEN Huaqing;LU Fuchang;XIA Yilan

机构地区：[1]浙江大学医学院附属第二医院烧伤与创面修复科,杭州市310000

出　　处：《中华急危重症护理杂志》2023年第9期809-812,共4页Chinese Journal of Emergency and Critical Care Nursing

摘　　要：对15例烧伤合并不同程度吸入性损伤患者采取分阶段预见性护理,休克期通过早期建立人工气道和基于血流动力学监测的液体复苏达到预防气道梗阻和肺水肿的目标;稳定期通过分级气道管理实现保持呼吸道通畅目标;康复期通过早期肺康复实现恢复肺部功能、预防肺不张的目标;通过全程实施全方位医院感染与控制管理,达到预防肺部感染的目标。15例患者均康复出院,住院期间未发生呼吸道梗阻、肺水肿、肺不张和严重肺部感染等并发症。Fifteen burn patients with varying degrees of inhalation injury were treated with phased predictive care.During the shock phase,the goal of preventing airway obstruction and pulmonary edema was achieved through early establishment of artificial airways and fluid resuscitation based on hemodynamic monitoring.And we achieved the goal of maintaining airway patency through graded airway management during the stable period.During the rehabilitation period,the goal of restoring lung function and preventing atelectasis was achieved through early lung rehabilitation.By implementing comprehensive hospital infection and control management throughout the process,the goal of preventing lung infections was achieved.All 15 patients recovered and were discharged from the hospital without any complications such as respiratory obstruction,pulmonary edema,atelectasis,or severe pulmonary infection.

关 键 词：群体 烧伤 吸入性 并发症 危重病护理 

分 类 号：R473.6[医药卫生—护理学]