摘要
目的：探讨脓毒症合并急性肾损伤患者的护理方法和特点，旨在提高其救治成功率。方法收集2006年12月—2011年10月在我院EICU救治的符合脓毒症合并急性肾损伤患者90例临床资料，予积极纠正休克及治疗原发病、合理应用抗菌药物，纠正酸碱失衡、水及电解质紊乱及连续性肾脏替代治疗（ CRRT）等处理，护理上重视早期液体复苏，及时观察病情变化和处理并发症，加强血流动力学监测和CRRT中血管通路的护理。结果90例患者中，肾功能恢复正常者45例，肾功能衰竭并死亡45例。结论脓毒症患者合并急性肾损伤病死率高，在救治中密切观察病情动态变化，积极有效的护理干预是保证患者肾功能恢复的关键，可望提高脓毒症合并急性肾损伤患者的救治成功率。
Objective To explore nursing methods and characteristics of patients with sepsis and acute kidney injury to improve the success rate of treatment. Methods Clinical data of 90 patients with sepsis and acute kidney injury was collected from December 2006 to October 2011 in EICU. Treatments included correcting shock and treating primary disease positively, using antimicrobial drugs rationally, correcting acid-base imbalance and water electrolyte disorders, continuous renal replacement therapy and so on. Nursing interventions included paying attention to early fluid resuscitation, observing symptoms changes and treating complications in time, strengthening the hemodynamic monitoring and nursing for blood vessel channel. Results There were 45 patients whose renal functions recovered to normal and 45 patients who developed renal failure and died in 90 patients. Conclusions Since the mortality was high in patients with sepsis and acute kidney injury, it is important to observe the serial changes of condition closely and provide nursing effectively for the recovery of renal functions. It is helpful to improve success rate of treatment for patients with sepsis and acute kidney injury.
出处
《中华现代护理杂志》
2016年第5期697-700,共4页
Chinese Journal of Modern Nursing
基金
基金项目：浙江省医学创新学科建设计划项目（11-CX26）
浙江省中医药重点学科建设计划项目（2012-XK-A28）
关键词
脓毒症
护理
急性肾损伤
Sepsis
Nursing care
Acute kidney injury
