专项技术系统管理在重度爆炸伤员批量救护中的应用

Specific technique system management in rescue of batches of patients with severe blast injury

目的批量重度爆炸伤员病情危重,救治难度大,文中主要针对构建专项技术系统管理应用于重度爆炸伤员批量救护的管理模式并评价应用效果。方法对9例同时入院的重度爆炸伤员护理过程中出现的呼吸道、血液净化、皮肤管理、血管通路、营养支持等管理难点,运用专项技术系统评估各阶段的技术支持重点,结合病程进展及时完善个体化的护理方案,由专项技术专家和骨干对各个阶段治疗重点进行指导和护理。结果 9例重度爆炸伤患者中,除1例发生呼吸机相关性肺炎外,其余患者均未发生相关并发症;最终6例康复出院,3例患者死亡。结论专项技术的系统管理在重度爆炸伤员批量救护中加强了专科协同护理,可提升专项技术管理水平,预防并发症发生。

Objective It is a tough job to rescue batches of patients with severe blast injury.The article aimed to construct specific technique system management in the rescue of batches of patients with severe blast injury and evaluate its effects.Methods Retrospective analysis was made on 9 patients with severe blast injury who hospitalized simultaneously.According to the difficulties in the nursing process of treating severe blast injury such as management of respiratory tract,continuous renal replacement therapy,vascular access,nutritional supply,skin nursing,etc,specific technique system management was constructed to evaluate technical support key points at different phases,including personalized nursing scheme with disease progression,professional nursing instruction on key points of different phases from specialists as well as corresponding nursing decision and professional caring.Results Specific technique system management was applied in these 9 patients with severe blast injury.Only 1 patients developed ventilator related pneumonia when receiving mechanical ventilation and no procedure related complications occurred in the aspects of blood purification,skin management,vascular access and nutrition support.6 patients discharged from hospital after recovery.Conclusion Specific techniques and systemic management in batch treatment of severe bast injury patients could help collaborative nursing,improve the management of specific management and prevent complication.