精神分裂症合并肺结核患者咯血诱因及护理

Cause analysis and nursing countermeasures of recurrent hemoptysis for patients with schizophrenia combined with pulmonary tuberculosis

目的:探讨精神分裂症合并肺结核患者咯血的诱因和护理对策。方法:回顾性总结近5年我科精神分裂症合并肺结核患者9人临床咯血的主要诱因及采取的有效护理措施。结果:咯血的主要诱因有:不服从卧床休息、吸烟后呛咳、排便用力,饮食控制不当、情绪激动等,经过护理干预,消除患者咯血的诱因,积极配合治疗和抢救,1人行肺叶切除术已治愈,4人因呼吸衰竭抢救无效死亡,其余4人咯血已控制,病情稳定。结论:精神分裂症合并肺结核出现咯血的诱因多样,需实行有针对性的护理措施。

Objective：To investigate causes and nursing countermeasures of hemoptysis for patients with schizophrenia com-bined with pulmonary tuberculosis. Methods：The main causes and effective nursing countermeasures of hemoptysis of 9 patients with schizophrenia combined with pulmonary tuberculosis in our department in the past five years were retrospectively analyzed. Results：The main causes were disobedience bed rest, after smoking cough, defecation straining, improper diet, agitation, etc. . After receiving nursing intervention to eliminate the incentive and active cooperation with the treatment and rescue, 1 cases was cures through pulmona-ry lobectomy, 4 cases died due to respiratory failure, and the other 4 cases were well controlled and in a stable condition. Conclu-sions：The main cases of hemoptysis for the patients with schizophrenia combined with pulmonary tuberculosis are various, therefore, it should take target nursing countermeasures.