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高龄新型冠状病毒肺炎患者重症护理:防“危”杜渐

Intensive care for elderly patients with COVID-19:prevention of progression to critically ill
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摘要 高龄新型冠状病毒肺炎(简称新冠肺炎)患者由于原发病本身、生理因素、伴有多种基础疾病等原因,发病后容易在短期进展为重症。特殊时期的重症护理需要“关口前移”,加强早期筛查,同时制定个体化的护理方案,包括俯卧位等。针对这一特殊群体,还需加强多方位护理,包括气道管理、容量评估、营养治疗、康复锻炼、心理干预等。在疫情防控期间,重症护理应充分发挥核心作用,防“危”杜渐,改善高龄新冠肺炎患者的临床预后及生活质量。 1 Elderly coronavirus disease 2019(COVID-19)patients are prone to short-term progression to critically ill after onset due to the primary disease itself,physiological factors,comorbid diseases.The intensive care during this special period needs to be"moved forward"to enhance early screening and to develop individualized care plans,including prone position.For this special population,multifaceted care,including airway management,volume assessment,nutritional therapy,rehabilitation exercises,and psychological intervention are also needed.During the pandemic,intensive care should play a central role to prevent"critical"and improve the clinical prognosis and quality of life of elderly COVID-19 patients.
作者 马璐 刘松桥 康焰 吴志雄 李晓青 徐翠荣 Ma Lu;Liu Songqiao;Kang Yan;Wu Zhixiong;Li Xiaoqing;Xu Cuirong(Jiangsu Provincial Key Laboratory of Critical Care Medicine,Department of Critical Care Medicine,School of Medicine,Southeast University,Nanjing 210009,China;Department of Critical Care Medicine,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Critical Care Medicine,Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China;Department of Nursing,Zhongda Hospital,School of Medicine,Southeast University,Nanjing 210009,China)
出处 《中华重症医学电子杂志》 CSCD 2022年第3期211-215,共5页 Chinese Journal Of Critical Care & Intensive Care Medicine(Electronic Edition)
基金 国家自然科学基金项目(81971885) 国家重大疫情救治基地建设项目(2019-320831-84-02-524538)。
关键词 新型冠状病毒肺炎 重症护理 高龄 俯卧位治疗 Coronavirus disease 2019 Intensivecare Elderly Prone position
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