摘要
目的总结重症胸部外伤应用呼吸机治疗的护理经验,提高重症胸外伤救治的成功率。方法回顾分析我院2001～2004年严重胸部外伤应用呼吸机治疗53例患者的护理经验。结果62例患者创伤AIS评分(19.1±3.3)分,全组均应用呼吸机治疗,呼吸机使用(118±36.2)h,全组呼吸机使用前PO2(56.8±6.3)mmHg,PCO2(47.3±7.3)mmHg,呼吸机脱机时PO2(93.9±3.4)mmHg,PCO2(31.2±3.5)mmHg,应用前后PO2、PCO2差异均有显著性(P<0.01),全组痊愈出院49例,死亡4例。结论重症胸外伤应用呼吸机治疗时,应根据病情严格掌握脱机指征,对提高重症胸外伤的救治成功率有重要意义。
Objective To summarize the nursing experience for curing severe thoracic injury with respirator to improve the successful rate of severe thoracic injury. Methods To review and summarize the nursing experience for curing 53 patients with severe thoracic injury by respirator in our department from 2001 to 2004. Results The patients of trauma assessment AIS 90 were 19.1±3.3,and all of the patients used the respirator, which were used (118.0±36.2) h. The patients′ PO_2 (56.8±6.3) mmm Hg,PCO_2 (947.3±~7.3 ) mm Hg before what the respirator was used,and the patients′ PO_2 (93.9±3.4) mm Hg,PCO_2 (31.2±~3.5 ) mm Hg while the respirator delivered. PO_2?PCO_2 had significant differences after using the respirator than before. 49 cases were cured successfully and 4 cases were dead. Conclusion While use the respirator,it′s very important to improve the successful rate of severe thoracic injury to correctly manage the delivering of respirator according to the patients condition.
出处
《中国实用护理杂志》
2005年第7期15-16,共2页
Chinese Journal of Practical Nursing
