ICU重型颅脑外伤合并胸腹伤的护理对策分析

Analysis of nursing strategies for severe craniocerebral injury complicated by thoracic-abdominal injury for patients in ICU

目的:了解ICU重型颅脑外伤合并胸腹伤患者的具体临床护理干预措施及其应用价值.方法:选取近年来我院ICU收治的重型颅脑外伤合并胸腹伤患者作为研究对象,随机抽取50例并对其临床资料以回顾性方法进行分析,归纳对此类患者相关临床护理干预内容以及患者接受治疗护理的预后情况.结果:患者接受治疗护理后对其进行平均时间为6个月的随访,患者预后情况如下:21例患者恢复良好,9例患者中残,4例患者重残,16例患者死亡.结论:重型颅脑损伤合并胸腹伤属于临床危急重症,具有极高的致残率与致死率,对此类患者除了及时治疗外还应该注重全面细致的护理干预,在护理中密切观察患者病情变化,提升护理观念,最大程度降低患者各种并发症的发生率,保障患者生命健康与生活质量.

AIM： To understand the specific nursing interven- tions for patients with severe craniocerebral injury complicated by thoracic-abdominal injury in ICU and its clinical application val- ue. METHODS： A total of 50 patients with severe eraniocerebral injury complicated by thoracic-abdominal injury admitted to ICU in our hospital in recent years were randomly selected, and their clinical data were retrospectively analyzed. The related nursing in- terventions and prognosis after nursing treatment for the patients were summarized. RESULTS： During 6 months of follow-up, the patients＇ prognosis after nursing treatment were： 21 eases of pa- tients with good recovery, 9 cases with moderate disability, 4 ca- ses with severe disability and 6 patients died. CONCLUSION： The severe craniocerebral injury complicated by thoracic-abdomi- nal injury is severe in clinical with very high disability rate and mortality rate. The patients need a comprehensive and detailed nursing care in addition to timely treatment. Close observation and enhanced nursing concept could minimize the complication rate and guarantee health and the quality of their life.