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重度颅脑损伤合并神经原性肺水肿机械通气的观察与护理

Nursing Care of Cerebral Injury Patients Complicated with Neurogenic Pulmonary Edema undergoing Mechanical Ventilation

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【作者】 杨猛范淑梅任冬晗孙书钢

【Author】 YANG Meng,FAN Shu-mei,REN Dong-han,SUN Shu-gang (Department of Neurosurgery of the First Affiliated Hospital of Harbin Medical University,Harbin 150001,Heilongjinag,China)

【机构】 哈尔滨医科大学附属一院神经外科

【摘要】 目的:探讨重型颅脑损伤合并神经原性肺水肿(NPE)病人机械通气的护理经验,提高此类病人的治疗成功率。方法:回顾性分析2000年~2007年18例颅脑损伤患者合并NPE的临床护理资料,对这些患者进行了机械通气治疗,观察和总结护理的临床效应。结果:18例患者中肺水肿消退11例,死亡7例。11例存活患者经过随访,死亡4例,植物生存1例,重残1例,中残2例,好3例。结论:重型颅脑损伤合并NPE预后不良,死亡率高;机械通气是治疗NPE的有效方法,正确积极的护理可提高患者的治愈率。

【Abstract】 Objective:To explore the nursing experience for the neurogenic pulmonary edema (NPE) occurred after cerebral inju-ry,and to improve the success rate of treating. Methods:18 patients with NPE were reviewed from 2000 to 2007 and the methods of nursing care were concluded. Results:The pulmonary edema was disappeared in eleven patients and seven patients died due to NPE. After following up for 3 to 12 months,four died and one got to vegetable state,one severely disabled,two middle disabled and three well recovered. Conclusions:Patients with cerebral injury complicated with NPE had a bad prognosis. Ventilation was an effective method for the treatment of NPE and might improve the recovery rate of the patients.

  • 【文献出处】 现代生物医学进展 ,Progress in Modern Biomedicine , 编辑部邮箱 ,2009年16期
  • 【分类号】R473.6
  • 【被引频次】1
  • 【下载频次】21
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