慢性肺心病急性发作伴多脏器衰竭的临床护理效应

Clinical Nursing Effects of Acute Episode of Chronic Pulmonary Heart Disease Combined with Multiple Organ Failure

目的:探讨慢性肺心病急性发作期的护理措施及其临床效应,提高对慢性肺心病急性发作期护理能力,减轻病人痛苦,改善生存质量,延长病人的生命。方法:回顾性分析对36例慢性肺心病急性发作伴多脏器功能衰竭患者进行观察护理,统计对照,制定护理措施,总结护理经验等临床资料。结果:36例病人中急性感染控制,心肺功能明显改善者30例,占83.3%;死亡4例,占16.7%;死亡者中脑、肾功能受累最高,其病死率与受累脏器数成正比,并与病程长,年老龄高,就诊不及时相关。结论:通过实施积极的护理措施,尽可能减少了病人再感染的机会,预防并发症的发生,使患者身心处于主动配合接受治疗的最佳状态,为医生实施治疗方案提供可靠的基础条件与依据,对疾病的预后和转归有重要意义。

Objective： To investigate the nursing measures and effects during acut episode of chronic pulmonary heart disease （CPHD） combined with multiple organ failure （MOF）, and to improve the survival quality of the patients with CPHD and prolong their life. Methods： 36 patients with CPHD combined with MOF were nursed by certain nursing measures. The statistical data in the clinical nursing were retrospectively analysed. Resuits： Among the 36 patients with CPHD, 30 patients （83.3%） were better in cardiorespiratory function; 4 patiems （16.7%） were dead, and among the dead, cerebral and renal functions were mainly involved in. Cases fatality rate was directly proportional to the organs involved in. Conclusion. Through taking active nursing measures, the complication and reinfection of the patients with CPHD had been reduced, which could offer reliable basic conditins and data for the clinical treatment, and also be significant in the prognosis and turnover of the disease.