烧伤休克期患者大量输注血浆的护理

The effect analysis of special care of plasma infusion for patients with extraordinarily severe burn in shockstage

目的总结烧伤休克期患者大量输注血浆的护理经验。方法对34例烧伤休克期患者在大量输注血浆中,做好输液管道和液体的管理,有计划地输注血浆,严密进行病情观察,落实保暖和健康宣教工作。结果 34例患者共输注血浆668次,其中22次发生寒战发热,5次发生过敏,经及时予降温、抗过敏等对症处理,其中15次寒战发热及5次过敏反应症状缓解或消失,7次发热呈持续状态导致不能完成输注血浆计划。结论认真进行输血监护是完成输血浆计划的关键,落实保暖措施可减少输血浆并发症的出现。

Objective Explore the safe nursing method of the plasma infusion for patients with extraordinarily severe burn in shock stage,ensure patients inputing plasma safely and timely,tide over shockstage smoothly.Method 68 patients with severe burn shock stage were randomly divided into experimental group and control group,both with 34 cases？The experimental group input plasma take regular blood transfusion methods and special nursing care,control group take usual care only.Result to take special nursing care for patients with severe burn in shockstage inputing plasma can reduce the incidence of adverse transfusion reactions,tide over shockstage smoothly,improve cure rates and reduce mortality？