摘要
目的:探讨经纤支镜下气管插管抢救羊水栓塞5例的急救措施与护理效果。方法:2014-2019年收治产后羊水栓塞患者5例,均经纤支镜下气管插管抢救,对临床急救措施及护理进行总结分析。结果:抢救成功4例,死亡1例。结论:抢救羊水栓塞成功的关键步骤是尽早识别羊水栓塞的前驱症状或不典型症状。早期迅速建立有效、安全的人工气道是抢救和复苏成功的重要环节,纤维支气管镜引导下,经鼻气管插管呼吸机辅助呼吸,迅速提高患者的氧分压;纠正肺动脉高压,避免呼吸心搏骤停,及时处理凝血功能障碍(DIC)是抢救羊水栓塞关键环节。多学科抢救及全程熟练操作技术的护理团队密切协同,是羊水栓塞抢救成功的重要因素。
Objective:To investigate the emergency measures and nursing effect of 5 cases of amniotic fluid embolism rescued by bronchofiberscope intubation.Methods:From 2014 to 2019,5 cases of patients with postpartum amniotic fluid embolism were enrolled,all patients were rescued by bronchofiberscope intubation,the clinical emergency measures and nursing care were summarized and analyzed.Results:4 cases were successfully rescued and 1 case was died.Conclusion:The key step of successful rescue of amniotic fluid embolism is to identify the precursor symptoms or atypical symptoms of amniotic fluid embolism as early as possible.Early and rapid establishment of an effective and safe artificial airway is an important link in the success of rescue and resuscitation,under the guidance of bronchofiberscope intubation,nasal tracheal intubation ventilator assisted respiration,rapid improvement of oxygen partial pressure,correction of pulmonary hypertension,avoid respiratory and cardiac arrest,timely treatment of coagulation dysfunction(DIC)is the key link to rescue amniotic fluid embolism.Multidisciplinary rescue and skillful operation technique in the nursing team are also important factors for the success of amniotic fluid embolism rescue.
作者
黎雪莲
Li Xuelian(Department of Obstetrics,the People's Hospital of Cangwu County,Guangxi Wuzhou 543100)
出处
《中国社区医师》
2020年第36期134-135,共2页
Chinese Community Doctors
关键词
羊水栓塞
纤支镜下气管插管
急救
护理
Amniotic fluid embolism
Bronchofiberscope intubation
First aid
Nursing
