颈部贯通伤伴颈动脉损伤合并脊髓损伤患者的急救护理  

Emergency care for a patient with penetrating neck injury involving carotid artery damage and spinalcord injury

作　　者：王婷婷[1] 周帅帅 方珏 王钰炜[2] WANG Tingting;ZHOU Shuaishuai;FANG Jue;WANG Yuwei

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市310009 [2]浙江大学医学院附属第二医院急诊科,杭州市310009

出　　处：《中华急危重症护理杂志》2024年第9期834-836,共3页Chinese Journal of Emergency and Critical Care Nursing

摘　　要：总结1例颈部贯通伤伴颈动脉损伤合并脊髓损伤患者的急救护理体会。针对患者因颈部贯通伤导致大量失血、血肿压迫气道等情况,采取多学科团队协同救治,颈动脉手指压迫止血,合并脊髓损伤的气道管理,血流动力学维持、预防低灌注脑梗等护理措施。经过紧急救治和护理,患者病情稳定后行急诊手术,术后第14天顺利出院。This article summarized the emergency care experience for a patient with penetrating neck injury,involving carotid artery damage and spinal cord injury.Faced with significant blood loss and airway compression due to hematoma from the neck injury,a multidisciplinary team approach was adopted for collaborative treatment.Carotid artery compression for hemostasis,airway y management for combined spinal cord injury,hemodynamic stabilization,and prevention of hypoperfusion-related cerebral infarction were implemented.Following emergency treatment and nursing care,the patient's condition stabilized and underwent emergency surgery.The patient was successfully discharged 14 days postoperatively.

关 键 词：颈部贯通伤 脊髓损伤 急症护理 

分 类 号：R473[医药卫生—护理学]