神经源性肺水肿的急救与护理

Emergency Treatment and Nursing of Neurogenic Pulmonary Edema

目的:加强对神经源性肺水肿的认识,增强急诊意识,提高生存率。方法:对35例该病患者进行积极有效的救治措施:①降低颅内压;②改善肺通气;③维持循环功能稳定;④使用中枢抑制剂;⑤调整水、电解质平衡及酸碱平衡。采取适当的护理措施:①取正确体位;②密切观察病情变化;③加强呼吸道管理;④加强基础护理;⑤加强心理护理。结果:35例患者中26例水肿消退。结论:及时发现,积极救治与护理,对提高神经源性肺水肿病人的生存率具有重要意义。

Objective：To enhance the knowing of neurogenic pulmonary edema, improve the consciousness of emergency treatment and increase survival rate. Methods：The curing measure of 35 cases with neurogenic pulmonary edema were carried actively and effectively：①Reducing encephalic press. ②Meliorating lung aeration. ③ Maintaining functional stabilization of circulation. ④Using central depressor. ⑤Adjusting the balance of water, electrolyte and acid - alkali. And some nursing measure were taken properly. ①Adopting right posture. ②Observing nearly the change of illness. ③Enhanclng the manage of respiratory tract. ④Enhancing basic nursing. ⑤ Enhancing mental nursing. Results：26 cases in the 35 cases had edematous fadeaway. Conclusions： It is very important for patients with neurogenie pulmonary edema to improve survival rate by discovering in prompt and curing and nursing actively.