重型颅脑损伤气管切开吸痰并发症的原因分析及护理对策
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摘要
目的:对重型颅脑损伤气管切开吸痰并发症的发生原因进行分析,并探讨相应的护理措施。方法:回顾分析2012年1月至2016年3月收治的106例重型颅脑损伤患者的临床资料,总结并发症患者发生原因及护理措施。结果:本组患者中,42例术后并发肺部感染,发生率为40.6%;通过分析,重型颅脑损伤气管切开后,昏迷时间>1周、机械通气>10d及返流误吸是并发肺部感染主要因素。结论:重型颅脑损伤气管切开吸痰患者易发生并发症,术后应加强临床护理工作,以预防和减少并发症发生,促进患者康复。
Objective: To analyze the causes of complications of tracheotomy in patients with severe craniocerebral injury,and to explore the corresponding nursing measures. Methods: The clinical data of 106 patients with severe craniocerebral injury admitted in our hospital from January 2012 to March 2016 were analyzed and the causes and nursing measures of patients with complications were summarized. Results: In this group of patients,there were 42 cases of postoperative pulmonary infection patients. And the incidence rate was 40.6%. The analysis of severe craniocerebral injury after tracheotomy showed coma time > 1 weeks,mechanical ventilation and 10 d and aspiration was the main factor of pulmonary infection. Conclusion: Severe craniocerebral injury patients with trachea cut sputum suction complications,and postoperative clinical nursing work should be strengthened,in order to prevent and reduce complications,promote patients recover
Objective: To analyze the causes of complications of tracheotomy in patients with severe craniocerebral injury,and to explore the corresponding nursing measures. Methods: The clinical data of 106 patients with severe craniocerebral injury admitted in our hospital from January 2012 to March 2016 were analyzed and the causes and nursing measures of patients with complications were summarized. Results: In this group of patients,there were 42 cases of postoperative pulmonary infection patients. And the incidence rate was 40.6%. The analysis of severe craniocerebral injury after tracheotomy showed coma time > 1 weeks,mechanical ventilation and 10 d and aspiration was the main factor of pulmonary infection. Conclusion: Severe craniocerebral injury patients with trachea cut sputum suction complications,and postoperative clinical nursing work should be strengthened,in order to prevent and reduce complications,promote patients recover
引文
[1]喻蓉艳,张超,胡小燕.重型颅脑损伤患者气管切开感染原因分析及护理对策[J].实用临床医学,2010,8:90~91.
[2]许小军.重型颅脑损伤患者气管切开术后气道综合护理体会[J].湖北民族学院学报(医学版),2015,1:81~82.
[3]王丽丽,王莉.52例重度颅脑损伤患者气管切开术后的护理[J].当代护士(下旬刊),2013,1:53~55.
[4]孙雪春.重型颅脑损伤患者气管切开的术后护理[J].实用心脑肺血管病杂志,2012,8:1394~1395.
[2]许小军.重型颅脑损伤患者气管切开术后气道综合护理体会[J].湖北民族学院学报(医学版),2015,1:81~82.
[3]王丽丽,王莉.52例重度颅脑损伤患者气管切开术后的护理[J].当代护士(下旬刊),2013,1:53~55.
[4]孙雪春.重型颅脑损伤患者气管切开的术后护理[J].实用心脑肺血管病杂志,2012,8:1394~1395.