慢性阻塞性肺疾病患者氧气雾化吸入发生严重不良反应原因分析及防范

Cause analysis and prevention of COPD patients' serious bad reaction caused by breathing mist oxygen

回顾4例慢性阻塞性肺疾病患者采用氧气雾化吸入疗法发生严重不良反应的资料,2例Ⅱ型呼吸衰竭加重、1例发生自发性气胸、1例发生室上性心动过速,认为主要原因是慢性阻塞性肺疾病的特点,护士对病情评估不足,宣教欠缺,吸入时间过长,医护沟通不够。预防措施为:全面评估患者病情,加强宣教;规范操作;做好医护沟通;加强巡视监测;有条件选用压缩雾化吸入法。

To review the material of four COPD cases having serious bad reaction after breathing mist oxygen in the department. Two cases had aggravatingⅡ type respiratory failure, one emerged spontaneous pneumothorax, the last happened supraventricular tachycerdia. The main causes were considered to be： the selfcharactor of COPD, not enough evaluation to patients＇ condition by nurses, deficiency of publicization and education, too much time of breathing, not enough communication between doctors and nurses. The prevention methods are： to evaluate patients＇ condition completely, strengthen publicizafion and education, make standard of operation, make enough coition between doctors and nurse, strengthen inspection and monitoring select breathing in method of compression and mist conditionally.