纤维支气管镜在新生儿重症监护室中的应用
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- 论文作者：魏丽蓉
- 年：2017
- 作者机构：四川绵阳市中心医院;
- 论文关键词：纤维支气管镜技术 ; 重症监护室 ; 新生儿
- 英文论文关键词：fiberoptic bronchoscopy technology ; The intensive care unit ; The newborn
- 会议召开时间：2017-05-26
- 会议录名称：2017年《中国组织化学与细胞化学杂志》临床研讨会论文集
- 语种：中文
- 分类号：R473.72
- 学会代码：ZHXB
- 会议名称：2017年《中国组织化学与细胞化学杂志》临床研讨会
- 会议地点：中国湖北武汉
- 主办单位：《中国组织化学与细胞化学杂志》社有限公司
- 学会名称：《中国组织化学与细胞化学杂志》社有限公司
- 页数：1
- 文件大小：121k
- 原文格式：O
- 会议级别：全国
摘要
目的:探讨在新生儿重症监护室中应用纤维支气管镜的临床效果,并分析总结相关的护理配合措施。方法:随机选取在我院重症监护室进行纤维支气管镜检查和治疗的严重呼吸道类疾病的新生儿患者19例次的临床资料,采取回顾性分析方法进行分析,并探讨对应的护理措施。结果:通过对19例次患者的检查和治疗,并结合相应的临床护理,全部例次患儿均梳理完成相关检查和治疗。且未发生其他严重并发症。其中17例次患儿诊断为肺部疾病,1例次诊断为胎粪吸入综合征,并采用纤维支气管镜吸痰以及肺泡灌洗等治疗,结合相应的护理措施,所有患儿症状改善后痊愈出院,1例次经检查诊断为食道闭锁,转儿外科治疗。结论:在新生儿重症监护室中应用纤维支气管镜技术进行检查,以及吸痰和肺泡灌洗技术进行治疗,并结合相应的护理干预措施,能够有效地提高新生儿相关疾病的检出和诊断,减少并发症的发生,提高新生儿的预后,值得推广应用。
Objective:To investigate the application of fiber bronchoscope in the neonatal intensive care unit of the clinical effect,and analyzed the relevant nursing measures.Methods:Randomly selected in the intensive care unit for fiber bronchoscope examination and treatment of severe respiratory diseases of the clinical data of 19 patients with neonatal times,take retrospective analysis method to carry on the analysis,and explore the corresponding nursing measures.Results:19 cases of patients with time based on the examination and treatment,and combined with the corresponding clinical nursing,all cases children are completed combing relevant examination and treatment And other serious complications occurred.17 cases of children diagnosed with lung disease,1 case diagnosed with meconium inhaled syndrome,sputum suction and using fiber bronchoscope and alveolar lavage treatment,combined with the corresponding nursing measures,all children with symptoms improved significantly,and recovered after the treatment,1 case of time through inspection diagnosis of esophageal atresia,the vase surgical treatment Conclusion:the application of fiber bronchoscope in the neonatal intensive care unit technology for inspection,and sputum suction and alveolar lavage treatment technology,and combined with the corresponding nursing intervention measures,can effectively improve the detection and diagnosis of neonatal related diseases,significantly improve the treatment effect,reduce complications and improve the prognosis of neonatal,is worthy of popularization and application.
Objective:To investigate the application of fiber bronchoscope in the neonatal intensive care unit of the clinical effect,and analyzed the relevant nursing measures.Methods:Randomly selected in the intensive care unit for fiber bronchoscope examination and treatment of severe respiratory diseases of the clinical data of 19 patients with neonatal times,take retrospective analysis method to carry on the analysis,and explore the corresponding nursing measures.Results:19 cases of patients with time based on the examination and treatment,and combined with the corresponding clinical nursing,all cases children are completed combing relevant examination and treatment And other serious complications occurred.17 cases of children diagnosed with lung disease,1 case diagnosed with meconium inhaled syndrome,sputum suction and using fiber bronchoscope and alveolar lavage treatment,combined with the corresponding nursing measures,all children with symptoms improved significantly,and recovered after the treatment,1 case of time through inspection diagnosis of esophageal atresia,the vase surgical treatment Conclusion:the application of fiber bronchoscope in the neonatal intensive care unit technology for inspection,and sputum suction and alveolar lavage treatment technology,and combined with the corresponding nursing intervention measures,can effectively improve the detection and diagnosis of neonatal related diseases,significantly improve the treatment effect,reduce complications and improve the prognosis of neonatal,is worthy of popularization and application.
引文
[1]颜崇兵,胡勇,裘刚.纤维支气管镜在新生儿重症监护室的应用分析[J].复旦学报(医学版),2015,42(6):749-152.
[2]杨娇荣,张谦,吕霞,等.纤维支气管镜在急诊重症监护室重症患者急救中的应用效果[J].世界临床医学,2017,11(3).
[3]焦鹏,刘鑫,王生华.床旁纤支镜气管肺泡灌洗在急诊重症监护室机械通气COPD患者救治中的应用简[J].临床急诊杂志,2016(11):873-876.
[4]朱敏.纤维支气管镜肺泡灌洗吸痰术治疗重症监护室肺部感染临床效果观察[J].医药前沿,2016,6(1).
[5]何少茹,刘玉梅,郑曼利.纤维支气管镜在NICU中的应用进展[J].中国小儿急救医学,2013,20(1):32-34.
[2]杨娇荣,张谦,吕霞,等.纤维支气管镜在急诊重症监护室重症患者急救中的应用效果[J].世界临床医学,2017,11(3).
[3]焦鹏,刘鑫,王生华.床旁纤支镜气管肺泡灌洗在急诊重症监护室机械通气COPD患者救治中的应用简[J].临床急诊杂志,2016(11):873-876.
[4]朱敏.纤维支气管镜肺泡灌洗吸痰术治疗重症监护室肺部感染临床效果观察[J].医药前沿,2016,6(1).
[5]何少茹,刘玉梅,郑曼利.纤维支气管镜在NICU中的应用进展[J].中国小儿急救医学,2013,20(1):32-34.