摘要
目的:对65例机械通气肺不张患者行床边纤支镜治疗的护理配合。探讨机械通气的过程中,容易并发呼吸机相关性肺炎、肺不张,床边纤支镜吸痰技术在危重患者的气道管理上和治疗上的重要价值。方法:操作前做好患者准备及抢救药品、物品的准备,操作中严密观察病情,注意做好呼吸机监护及吸引器管理。结果:本组69例次的床边纤支镜诊疗操作,通过操作前后的胸片复查,提示肺不张好转;血气分析氧分压、氧饱和度均有改善(P<0.05),所有操作均一次成功,无1例严重并发症发生。结论:护理配合是顺利进行纤支镜治疗的关键。
Objective： Nursing care of 65 cases of mechanical ventilated patients complicated with atelectasis undergoing BFB （bedside fiberscopy bronchoscope） was reported. Ventilator-associated pneumonia （VAP）and atelectasis were commonly seen during mechanical ventilation. BFB was significant for airway management of critically ill patients. Methods： Main points of nursing assistance were making fully preparations for medicines and equipments, closely monitoring, carefully adjusting ventilator. Results： Atelectasis of the reported cases showed amelioration by 69 times of BFB. PO2 and SPO2 on BGA （blood gas analysis） improved （P〈O.05）.No serious complications happened. Conclusion： Nursing Cooperation is Essential to the Successful Appfication of Fibre Bronchoscope.
出处
《安徽卫生职业技术学院学报》
2009年第2期59-60,共2页
Journal of Anhui Health Vocational & Technical College
关键词
纤维支气管镜
机械通气
护理
fiberscopy bronchoscope
mechanical ventilation
nursing
