肺结核合并呼吸衰竭的临床护理体会

Pulmonary tuberculosis with respiratory failure of clinical nursing experience

呼吸衰竭是由于肺脏本身痛变或其他原因引起的呼吸功能严重障碍，导致机体缺氧（PaO2〈8kPa），伴有或不伴有CO2潴留（PaCO2〉6．67kPa）所致的生理和代谢功能紊乱的临床征候群。临床上常出现呼吸困难、紫绀、低氧血症、高碳酸血症。重症肺结核是引起呼吸衰竭的常见原因．因此临床表现极为复杂，症状重，变化快，护理工作难度较大，应引起本学科护理工作人员的重视。目的是通过积极而有效的治疗护理，随时掌握病情，预防恶化使疾病发展控制在最低水平。重症肺结核合并呼吸衰竭进展凶险，痛死率高，是临床面临的现实问题。我们对2005年1月-2008年5月入住我科的79例重症肺结核合并呼吸衰竭的患者给予合理的护理，就能起到挽救和延长患者生命的作用。

respiratory failure was due to lung disease itself, or other causes serious obstacles to respiratory function, leading to the body hypoxla （PaO 2 ＆lt;8kPa）, associated with or without CO 2 retention （ PaCO2 ＆gt; 6.67kPa） of the - induced physiological and metabolic dysfunction in the clinical syndrome. Often appear clinically difficulty in breathing, cyanosis, hypoxemia, hypercapnia. Severe respiratory failure caused by tuberculosis is a common cause, it is extremely complex clinical manifestations, symptoms weight, change quickly, care more difficult, should give rise to discipline nursing staff attention. Aim is through active and effective treatment and care, keep abreast of the patient＇s conditionDevelopment control to prevent deterioration of the disease at the lowest level. The progress of severe pulmonary tuberculosis with respiratory failure risks of a high fatality rate, is facing the clinical reality. We are in January 2005 - May 2008 stay at our department 79 patients with severe pulmonary tuberculosis with respiratory failure were treated with reasonable care, will be able to play to save and prolong life role.