1例特重度烧伤伴吸入性损伤患者并发喉痉挛的急救护理  

Emergency care for a patient with extra and severe burn with inhalation injury when establishing advanced airway

作　　者：闫丹萍 王钰炜[2] 王飒[3] YAN Danping;WANG Yuwei;WANG Sa

机构地区：[1]浙江大学医学院附属第二医院急诊抢救室,杭州市310052 [2]浙江大学医学院附属第二医院护理部,杭州市310052 [3]浙江大学医学院附属第二医院急诊医学科,杭州市310052

出　　处：《中华护理杂志》2023年第21期2650-2653,共4页Chinese Journal of Nursing

摘　　要：总结1例特重度烧伤伴吸入性损伤患者在建立人工气道时出现喉痉挛的急救护理经验。护理要点:高风险气道患者人工气道建立过程中并发症的识别与处理,解除患者气道痉挛危险因素;进行早期镇静唤醒,使用简易沟通法,进行脱机呼吸评估及训练;使用主动升温措施,关注烧伤患者液体复苏与体温管理;创伤团队全流程管理,缩短特重度烧伤患者急诊停留时间。经44 d积极治疗与精细化护理,患者救治成功,顺利出院。To summarize the emergency nursing experience of a patient with extremely severe burns and inhalation injury who developed laryngospasm when establishing an artificial airway.Nursing points include:identification and treatment of complications during artificial airway establishment for high-risk airway patients,and elimination of the risk factors of airway spasm in patients.Conduction of early sedation and awakening,the use of simple communicatio.Methods,and the conduction of off-line respiratory assessment and training.The use of active warming measures,and paying attention to fluid resuscitation and body temperature management of burn patients.Trauma team manages the whole process to shorten the emergency stay time of extremely severe burn patients.After 44 days of active treatment and meticulous nursing care,the patient was successfully treated and discharged from the hospital.

关 键 词：烧伤 吸入性损伤 气道痉挛 喉痉挛 急救医疗服务 护理 

分 类 号：R473.6[医药卫生—护理学]