摘要
目的探讨危重病患者下呼吸道感染痰液潴留、阻塞,床边纤维支气管镜(简称纤支镜)灌洗吸痰术的护理,以确保纤支镜灌洗吸痰过程能顺利进行。方法对273例危重病患者进行纤支镜灌洗吸痰时,做好术前准备、术中监护和配合及术后观察。结果268例患者纤支镜灌洗吸痰术顺利进行,5例术中出现SPO2持续下降等紧急情况,经及时抢救处理好转,所有病人经纤支镜灌洗吸痰术后下呼吸道痰液阻塞、肺不张、呼吸困难、SPO2均有不同程度改善。结论纤支镜灌洗吸痰术抢救危重病患者下呼吸道痰液潴留、阻塞是一种行之有效、立竿见影的好方法,做好术前、术中及术后的护理是保证纤支镜灌洗吸痰术成功的重要措施。
Objective To study the effects of nursing care on critical care medicine patients who aspirated sputum and bronchoalveolar lavaged with fibrobronchoscope.Methods We made full nursing care on 273 critical patients who had aspirated sputum and bronchoalveolar lavaged with fibrobronchoscope, invoding sufficient prepare, safe custody and well cooperation, and evaluated the effects after treatment.Results The treatment of 268 cases were went on smoothly. Only five patients' SPO2 has descended bul all salvaged duly. All patients were much improvement in airway obstruction, atelcctasis and dyspnea.Conclusion Full nursing care can help the treatment of fibrobronchoscope go on smoothly.
出处
《中国医药导报》
CAS
2006年第6期10-11,共2页
China Medical Herald
关键词
纤支镜
灌洗吸痰
危重病
护理
Fibrobrochoscope
Aspirate aputum and lavage
Critical care medicine
Nursing care
