摘要
[目的]探讨床旁纤维支气管镜在急性呼吸衰竭病人中的应用效果及并发症的护理。[方法]选择需行纤维支气管镜治疗的病人43例,采用床旁纤维支气管镜气管吸引及支气管肺段灌洗、局部注药治疗。监测心电、血压、呼吸、血氧饱和度变化及血气分析,加强术前心理护理,术中和术后对低氧血症、心律失常、喉头水肿及支气管痉挛、出血等并发症的护理。[结果]所有病例经治疗后,临床症状改善,氧分压(PaO2)、血氧饱和度(SaO2)与治疗前相比有明显增高。[结论]纤维支气管镜气道吸引、支气管灌洗、局部注药效果确切,能缓解病人的呼吸困难,加强纤维支气管镜引起的并发症的护理可使病人病情得到控制。
Objective： To probe into nursing care of acute respiratory failure patients treated with bedside bronchofibroscope and its complications. Methods： A total of 43 patients needed bronchofibroscope therapy were selected and treated with tracheal aspiration, bronchopulmonary segment lavage and local drug injection. The electrocardiograph, blood pressure, respiration, saturation of blood oxygen and blood gas analysis of patients had been monitored. Preoperative psychological nursing and prevention on complications such as hypoxemia, arrhythmia, laryngeal edema, bronchospasta and hemorrhage of patients had been strengthened. Results. Compared with that of before treatment, clinical symptoms of all cases have been improved. PaO2 and SO2 of them were increased significantly. Conclusion： Tracheal aspiration via bronchofibroscope, bronchopulmonary segment lavage and local drug injection for acute respiratory failure patients have preonunced effect, and can relieve dyspnea of patients. To strengthen prevention on complications induced by bronchofibroscope could control illness condition of patients well.
