急性颈髓损伤术后急性呼吸衰竭的原因分析及护理  

Analysis and nursing of postoperative acute respiratory failure for cervical spinal cord injury

作　　者：崔丽华[1] 王凤霞[1] 

机构地区：[1]聊城市人民医院骨科,山东聊城252000

出　　处：《南方护理学报》2003年第3期34-35,共2页Nanfang Journal of Nursing

摘　　要：笔者分析了17例急性颈髓损伤手术后,发生急性呼吸衰竭的主要原因是脊髓继发性机械损伤,包括呼吸肌麻痹、膈肌运动受限、气管和支气管分泌物潴留、颈髓广泛性水肿和内源性继发性损伤。阐述了术后的观察与护理:包括面部观察与护理,按时准确的静脉给药,呼吸道的保护与管理,认为做好局部护理,早发现、早处理及有效的进行呼吸道管理是抢救呼吸衰竭的关键。Through analyzing the nursing of 17 patients with postoperative acute respiratory failure for cervical spinal cord injury, the authors suggest that secondary cervical spinal cord injury produced acute respiratory failure, such as paralysis of respiratory muscles, contained diaphragm and motor muscles, secretive retention in trachea and bronchus, edema and secondary endogenous injury in cervical spinal cord. They come up with such observational and nursing measures as observation of faces, puncture vein transplantation, protection and management of respiratory tract, local nursing, believing early discovery and early treatment are key to the rescue of respiratory failure.

关 键 词：急性颈髓损伤 术后 急性呼吸衰竭 原因 护理 脊髓继发性机械损伤 呼吸道管理 

分 类 号：R651.2[医药卫生—外科学] R473.6[医药卫生—临床医学]