17例重症胸外伤患者的急救护理

17 Cases of Patients with Severe Chest Trauma's Emergency Care

目的探讨重症胸外伤患者的急救护理措施,提高治愈率。方法 2007至2009年6月收治重症胸外伤患者17人,护理人员快速接诊,积极协助医生诊断治疗,遵医嘱及时准确采取有效地护理措施。结果 17例全部成功救治,其中早期多科协同实施一期手术9例。结论确保患者呼吸道通畅,维持有效的血氧分压,密切观察病情,尽早配合手术,实施一期手术是抢救护理成功的关键,有利于提高重症胸外伤的治愈率。

Objective To explore first-aid nursing measures of severe chest trauma to increase the cure rate.Methods From 2007 to June 2009,we had received 17 patients with severe chest trauma.Nursing staff actively assist doctors carry out diagnosis and treatment,as directed by a physician accurately and timely,and take effective nursing measures.Results The treatment was successful in all 17 cases,including early implementation of a multidisciplinary collaborative surgery in 9 cases.Conclusion It is imperative to ensure respiratory tract of patients unobstructed,maintain effective blood pressure,closely observe patient＇s condition,coordinate with early surgery.And implementation of a rescue operation was the key to successful care,and helped to improve the cure rate of severe chest trauma.