摘要
急性创伤性颈脊髓损伤(TCSCI)是临床常见的严重创伤之一,伤后因呼吸肌不同程度瘫痪、咳嗽功能下降、支气管分泌物增多及支气管痉挛等因素,常并发呼吸系统感染等并发症,严重影响患者呼吸功能恢复,增加病死率。为了解急性TCSCI后呼吸系统并发症的治疗和管理的相关进展。笔者从机械通气、气管切开、氧疗、雾化吸入、辅助排痰、呼吸功能训练等方面对急性TCSCI的呼吸系统并发症管理进行综述,为临床护理工作提供参考,以提高救治效果。
Acute traumatic cervical spinal cord injury(TCSCI)is one of the most common severe injuries,and is often accompanied by complications like respiratory infection due to different degrees of paralysis of respiratory muscles,decreased cough function,increased bronchial secretions and bronchial spasm,which seriously affects the respiratory function recovery and enhances mortality rate.The authors review the respiratory management in patients with TCSCI from mechanical ventilation,tracheotomy,oxygen therapy,aerosolized inhalation,assisted sputum extraction,and respiratory function training,in order to provide a reference for clinical nursing work and improve the treatment effect.
作者
尹芝华
聂娜
周怡利
王英
刘列华
Yin Zhihua;Nie Na;Zhou Yili;Wang Ying;Liu Liehua(Department of Spine Surgery,Third Affiliated Hospital of Chongqing Medical University,Chongqing 401120,China)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2020年第9期859-864,共6页
Chinese Journal of Trauma
关键词
颈椎
脊髓损伤
肺部感染
呼吸道感染
Cervical vertebrae
Spinal cord injuries
Pulmonary infection
Respiratory infection
