老年急性脑卒中患者显性误吸致呼吸衰竭的护理研究
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- 论文作者：曹樱花 ; 赵晓辉 ; 王奎玲
- 年：2016
- 作者机构：北京军区总医院附属八一脑科医院;
- 论文关键词：急性脑卒中 ; 老年人 ; 显性误吸 ; 呼吸衰竭
- 英文论文关键词：acute stroke ; aged ; dominant aspiration ; respiratory failure
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R473.74
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：1942k
- 原文格式：D
- 会议级别：全国
摘要
显性误吸致呼吸衰竭是老年急性脑卒中患者常见并发症之一,也是致老年急性脑卒中患者死亡的主要原因之一,其高危风险因素主要包括吞咽困难、咳嗽反射减弱、口咽部细菌定植、胃食管反流、鼻饲、高龄与肺功能改变等,应识别高危风险因素,筛选高危患者,通过规范进食管理、机械通气管理,积极预防显性误吸,危象一旦发生,应立即给予急诊急救,及时发现、处置误吸、对症处理,缓解期还应做好病情观察、一般护理、呼吸道管理与用氧管理。
dominant aspiration in one of the common complications in patients with acute cerebral stroke induced respiratory failure of elderly,but also the main cause of elderly patientswith acute cerebral apoplexy patients at high risk of death,the main factors include the difficulty in swallowing,cough reflex is abate,oropharyngeal bacterial colonization, stomach food reflux,nasalfeeding,elderly patients and pulmonary function changes,should the risk factors,screening of high-risk patients with mechanical ventilation,feeding management,management by specification,activeprevention of dominant aspiration,crisis once occurred,it shall immediately give emergency treatment,the timely discovery,the disposal of aspiration,symptomatic treatment,remission should do a goodjob of illness observation,nursing,respiratory tract management and general management with oxygen.
dominant aspiration in one of the common complications in patients with acute cerebral stroke induced respiratory failure of elderly,but also the main cause of elderly patientswith acute cerebral apoplexy patients at high risk of death,the main factors include the difficulty in swallowing,cough reflex is abate,oropharyngeal bacterial colonization, stomach food reflux,nasalfeeding,elderly patients and pulmonary function changes,should the risk factors,screening of high-risk patients with mechanical ventilation,feeding management,management by specification,activeprevention of dominant aspiration,crisis once occurred,it shall immediately give emergency treatment,the timely discovery,the disposal of aspiration,symptomatic treatment,remission should do a goodjob of illness observation,nursing,respiratory tract management and general management with oxygen.
引文
[1]黄晓伟,吴秀清,叶宏京.老年吸入性肺炎38例临床分析[J].中国医药指南,2009,7(8):61-62.
[2]金金,孙铁英,李燕明.老年人吸入性肺炎的危险因素和预防措施.中华老年医学杂志,2009,(5):434-437.
[3]杨秀琦.呼吸衰竭的护理[J].中国实用护理杂志,2010,24(05):24
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[5]王苹,周泽云.脑卒中显性误吸致呼吸衰竭患者的护理[J].护理学杂志,2009,24(15):26-28.
[6]侯颖萍.呼吸衰竭患者误吸19例原因分析与护理对策[J].中国误诊学杂志,2012,12(9):2205-2206.
[7]李艳春,黄翠瑶.老年脑卒中患者显性误吸致呼吸衰竭的急救与护理[J].南方护理学报,2005,12(5):26-28.
[8]周玲善,张弢,郭振辉,等.老年急性脑卒中患者显性误吸致呼吸衰竭的护理[J].华南国防医学杂志,2014,28(12):1248-1250.
[9]王雪英.11例误吸致呼吸衰竭老年患者的护理体会[J].当代医学,2010,16(21):126-128.
[2]金金,孙铁英,李燕明.老年人吸入性肺炎的危险因素和预防措施.中华老年医学杂志,2009,(5):434-437.
[3]杨秀琦.呼吸衰竭的护理[J].中国实用护理杂志,2010,24(05):24
[4]梅娟.经纤支镜气管内置管供氧救治急性误吸性呼吸衰竭12例的护理[J].中国误诊学杂志,2011,11(20):4991-4993.
[5]王苹,周泽云.脑卒中显性误吸致呼吸衰竭患者的护理[J].护理学杂志,2009,24(15):26-28.
[6]侯颖萍.呼吸衰竭患者误吸19例原因分析与护理对策[J].中国误诊学杂志,2012,12(9):2205-2206.
[7]李艳春,黄翠瑶.老年脑卒中患者显性误吸致呼吸衰竭的急救与护理[J].南方护理学报,2005,12(5):26-28.
[8]周玲善,张弢,郭振辉,等.老年急性脑卒中患者显性误吸致呼吸衰竭的护理[J].华南国防医学杂志,2014,28(12):1248-1250.
[9]王雪英.11例误吸致呼吸衰竭老年患者的护理体会[J].当代医学,2010,16(21):126-128.