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重型颅脑损伤并发ARDS的高危因素及护理

ARDS with Severe craniocerebral Injury Risk Factors and Nursing Experience
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摘要 目的分析熏型颅脑伤继发ARDS的商危因素,根据高危因素采取有效的预防和护理措施。方法对我科近5年来28例重型颅脑损伤合并ARDS的病人资料进行回顾性分析,对患者发病的高危因素及预防护理措施进行讨论。结果28例患者均诊断明确,16例抢救成功,12例死亡,抢救成功率为57.1%。结论重型颅脑损伤并发ARDS死亡率较高。在临床上密切观察病情,预防高危因素的发生,做到早期诊断、早期气管切开,正确使用呼吸机以及高质量的基础护理是抢救成功的关键。 Objective Analysis of risk factors of ARDS caused by severe traumatic brain injury, adopt effective precautions and nursing interventions according to risk factors. Methods The datas of 28 patients with severe traumatic brain injury caused ARDS during last five years were retrospectively analyzed and the incidence of patient risk factors and treatment methods were discussed. Resul 28 patients were diagnosed clearly, 16 patients were successfully rescued and 12 patients died. The achievement ratio of rescue is up to 57.1%. Conclusion Severe craniocerebral injury complicated by ARDS caused a high mortality. To prevent the occurrence of risk factors, early diagnosis, early tracheotomy and the correct use of breathing machine as well as high qualified basic nursing are the key to the success of their rescue.
机构地区 解放军
出处 《中国中医药现代远程教育》 2010年第17期234-235,共2页 Chinese Medicine Modern Distance Education of China
关键词 重型颅脑损伤 急性呼吸窘迫综合征 高危因素 护理 Severe head injury Acute respiratory distress syndrome Risk Factors Nursing
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  • 2Evers BM,Townesend CM,Thopson JC.Organ physiology of aging.Surg Clin North Am, 1994,74:23-39.

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