摘要
目的:总结婴幼儿心脏术后机械通气的呼吸道护理经验。方法:分析2008年1月～2010年12月我科手术治疗的47例婴幼儿先天性心脏病患儿的临床资料,通过术后呼吸模式的恰当选择、严密的监护,积极防控感染,拍背、体位引流、膨肺吸痰、心理护理等措施。结果:本组患儿术后并发低心排综合征1例,呼吸道感染5例,肺不张3例。其中1例患儿死于低心排综合征,46例患儿痊愈出院。结论:SIMV(VC)+PSV是婴幼儿体外循环术后最常用的呼吸模式,术后通过气管插管的有效固定,防止误吸、加强体疗、及时有效的清理呼吸道分泌物,减少了并发症的发生。治疗中掌握好时机,注意观察,可以收到较好的效果。
Objective ：To summarize respiratory nursing experience of infants during mechanical ventilation after cardiac surgery. Methods： From January 2008 to December 2010,47 infants underwent surgical treatment of congenital heart diseases in our department. Postoperative respiratory patterns including the proper selection, rigorous monitoring, prevention and control of active infection, shot back ,postural drainage, swelling of lung suctioning, heart care measures etc were carried out for those patients. Results：In this group of infant patient, 1 case complicated with postoperative low cardiac output syndrome ,5 ca- ses with respiratory tract infection ,3 cases with pulmonary atelectasis. 1 case died of low cardiac output syndrome,46 infants were cured. Conclusion：SlMV （VC） ＋ PSV after cardiopulmonary bypass in infants and children is the most common breathing pattern. After the effective fixed by tracheal intubation ,preventing aspiration,enhancing physical therapy, timely and effective clean - up respiratory secretions, many kinds of complications were reduced, which played a better clinical results for those children.
出处
《护理实践与研究》
2012年第11期62-63,共2页
Nursing Practice and Research
关键词
婴幼儿
心脏手术
呼吸道护理
Infants
Open cardiac surgery
Respiratory tract nursing
