11例严重脊柱侧凸伴呼吸衰竭的护理评估与护理

Nursing assessment and care of 11 patients with severe scoliosis complicated with pulmonary failure

总结了对11例严重脊柱侧凸伴呼吸衰竭的护理评估和护理干预。护理评估的重点内容包括呼吸衰竭程度、心肺功能。术前在颅骨-重力牵引下使用BiPAP呼吸机,经面罩无创正压通气(NIPPV),进行呼吸训练,有效改善了患者的呼吸功能,患者肺功能达到手术时的预测值35%,使严重脊柱侧凸伴呼吸衰竭患者安全接受了手术。

Totally 11 cases of severe scoliosis complicated with pulmonary failure received nursing assessment and relative nursing care. The key points of nursing assessment include the severity of pulmonary failure and eardiopulmonary function. Bi- PAP respirator was applied when patient was in preoperative halo-gravity traction. By using Noninvasive Positive Pressure Ventilation（NIPPV） and breathing training, respiratory function of patients was effectively improved. The pulmonary- function could be get 35 percent that of predictive value when operation. The patients of severe seoliosis complicated with pulmonary failure could receive operation safely.