急性呼吸窘迫综合征患儿的急救护理(24例)

Emergency Care of the Acute Respiratory Distress Syndrome in Children Patients(24 Cases)

目的探讨急性呼吸窘迫综合征(ARDS)患儿在机械通气治疗时的最佳护理方法。方法回顾性分析医院PICU收治ARDS患儿24例的临床资料。结果通过运用小潮气量、适宜的PEEP机械通气、严密监测病情、适时的吸痰时间、控制输液量、严格的无菌操作方法,治愈率达到83%。结论加强呼吸机监测,做好气道护理,掌握液体治疗策略是提高ARDS抢救成功率的重要因素。

Objective This paper was aimed at discussing the best nursing methods in the treatment of the acute respiratory distress syndrome（ARDS） in children patients with mechanical ventilation. Methods Clinical data of 24 ARDS children cases in PICU were retrospective analysis. Results Through applying series of measurements, such as, low tidal volume, suitable PEEP mechanical ventilation, close monitoring of disease, sputum suction in time, control the amount of infusion and strict aseptic operation, the cure rate achieved 83%. Conclusion Strengthening the monitoring of breathing machine, completing the airway nursing and mastering the liquid treatment strategies were the key factors to increase of successful rescue rate in ARDS.