文档介绍：重型颅脑损伤患者院内肺部感染的预防及护理对策
【摘要】目的探讨重型颅脑损伤患者医院内肺部感染的相关因素及护理干预对策。方法对43例重型颅脑损伤患者并发医院内肺部感染的临床资料进行回顾性调查和分析,总结护理干预对策。结果重型颅脑损伤患者并发医院内肺部感染因素与疾病危重度、年龄、呼吸机的使用、气管插管或切开、吸痰、卧床时间、留置胃管、药物使用、卫生环境等有关。结论颅脑损伤合并肺部感染是多种因素造成的,除了正确的治疗外,应通过各种针对性的护理干预对策以提高重型颅脑损伤患者生存率,降低感染率及死亡率。
【关键词】重型颅脑损伤肺部感染预防护理对策职称论文
【Abstract】 Objective Traumatic brain injury patients with ial pulmonary infection related factors and nursing intervention. Method On43cases of severe craniocerebral injury plicated with ial pulmonary infection were retrospectively investigated and analyzed, summarized the nursing intervention Severe craniocerebral injury plicated with ial pulmonary infection factors and the disease severity, age, use of respirator, tracheal intubation or tracheotomy, suctioning, time of lying in bed, indwelling gastric tube, drug use, health, environment and so In addition to the correct treatment, should be through a variety of specific nursing intervention meas
ures to improve the survival rate of patients with severe craniocerebral injury, decrease the infection rate and mortality.
【Keywords】 Severe traumatic brainin jury Pulmonary infection Prevention Nursing countermeasure.
重度颅脑损伤是神经外科常见的危害患者生命的急危重症之一。患者由于颅骨骨折、颅内出血以及脑神经损伤而造成昏迷,可伴有吞咽反射、咳嗽反射减弱、大小便失禁等。若治疗和护理不当易导致机体感染扩散而危及生命。而肺部感染是最常见的并发症,其发生率在医院内感染中居第二位,也是死亡的主要原因之一。本院2010年9月~2012年5月共收治重型颅脑损伤术后合并肺部感染的患者43例,调查分析其并发肺部感染病因。探讨颅脑损伤术后肺部感染的