摘要
总结了17例慢性阻塞性肺疾病患者因股骨颈骨折后出现急性加重期的护理。护理重点包括:做好氧疗及无创机械通气时的观察护理,保持呼吸道通畅,预防并发症,加强疼痛、便秘的中西医结合护理;保持合理的体位、有效的牵引;预防血液高凝状态所导致的下肢深静脉血栓形成;加强营养,纠正负氮平衡;指导呼吸肌功能锻炼,改善通气效率和气体交换等。本组8例病情稳定后转骨科行手术治疗,其余均采用非手术皮牵引治疗,病情稳定后无并发症出院。
This paper summarizes the nursing care of 17 chronic obstructive pulmonary disease patients in acute exacerbation period after femoral neck fractures.The measures included oxygen therapy,observation of noninvasive mechanical ventilation,proper manipulation to keep a clear airway,prevention of complications,a combination nursing of Chinese traditional medicine and western modern medicine about pain and constipation management,proper body position and traction,prevention of deep vein thrombosis in lower limb,nutritional support and correction of negative nitrogen balance,guidance on respiratory exercises to improve efficiency of ventilation and gas exchange.Except eight cases who turn to surgical operation,the patients recovered without complications after non-surgical treatment of skin traction.
出处
《中华护理杂志》
CSCD
北大核心
2011年第8期761-763,共3页
Chinese Journal of Nursing
关键词
肺疾病
慢性阻塞性
股骨颈骨折
护理
Pulmonary Disease
Chronic Obstructive
Femoral Neck Fractures
Nursing Care
