摘要
目的:总结室缺合并肺高压患儿心脏术后呼吸道护理的经验。方法:对1995年12月至1997年12月在我科实施VSD修补术的103例室缺合并肺高压患儿,术后主要从以下几方面加强呼吸道护理:适当的PEEP支持时吸;镇静;平衡出入量;定或吸痰;预防呼吸道感染;拔除气管插管后加强体疗。结果:本组使用呼吸机时间最长29d,最短池,平均11h,术后平均住院无数8d,无呼吸道并发症出现,死亡率为0。结论:加强术后呼吸道护理可减少室缺合并肺高压患儿心脏术后的井发症,促进其恢复。
Objective :To present our experience in post-operative respiratory tract management in pediatric patients with ventricular septal defect (VSD) complicated with pulmonary hypertension (PH). Methods:One hundred and three patients with VSD complicated with PH received VSD reparation in our department from Dec 1995 to Dec 1997,of whom 34 patients(33. 00 % ) had severe PH.Main nursing interventions of respiratory tract care were: appropriate PEEP support, proper sedation, liquid input and output balance, periodical suction of respiratoy tract excretions, and enhancement of chest physical therapy(CPT) after extubation. Results:In all 103 patients,the longest time of respiratory support was 29 h and the shortest was 6 h, the average being l1 h, The average post-operative time in hospital was 8d and the mortality was O. There was no respiratory complications occurring in the patients. Conclusion: The enhancement of respiratory tract care will bring about the reduction of post-operative complications and the improvement in recovery of the patients with VSD complicated PH.
出处
《解放军护理杂志》
1999年第4期41-43,共3页
Nursing Journal of Chinese People's Liberation Army