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早期控制呼吸在重度颅脑损伤患者中的应用

Application of early period respiratory control in severe craniocerebral injury patients

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【作者】 陈晓华谢红伟

【Author】 Chen Xiaohua,Xie Hongwei.(Affiliated Hospital of Qingdao Medical College of Qingdao University,Qingdao Shandong 266003,China)

【机构】 青岛大学医学院附属医院青岛大学医学院附属医院 山东青岛266003山东青岛266003

【摘要】 目的:探讨重度颅脑损伤患者早期控制呼吸的效果和护理方法。方法:对本组49例重度颅脑损伤患者,早期行机械通气,有自主呼吸存在的患者,清除人机对抗现象,根据血气分析结果调整呼吸机参数。结果:45例于8~26d自主呼吸平稳,顺利脱机,32例在20~32d神志转清醒,2例患者因就诊时多脏器功能衰竭死亡,2例患者放弃治疗。结论:早期控制呼吸,快速建立机械通气,加强呼吸道护理可避免并发症发生及降低病死率。

【Abstract】 Objective: To discuss the effect of application of early period respiratory control in severe craniocerebral injury and nursing care . Methods: 49 cases were early applied mechanical ventilation, parameters of mechanical ventilation were adjusted by the results of blood gas analysis. Results: 45 cases appeared eupnea and sedate during 8-26d,32 cases became conscious in 20-32d, 2 cases died of multiple organ failure and 2 cases gave up during treatment. Conclusion: It is possible to reduce the morbility of complication and mortality in severe craniocerebral injury by the methods of early period respiratory control, mechanical ventilation and airway attendance.

  • 【文献出处】 齐鲁护理杂志 ,Journal of Qilu Nursing , 编辑部邮箱 ,2006年16期
  • 【分类号】R473.6
  • 【被引频次】1
  • 【下载频次】14
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