颅内动脉瘤破裂伴蛛网膜下腔出血合并神经源性肺水肿患者的护理

Nursing care for patients with intracranial aneurysm rupture with subarachnoid hemorrhage and neurogenic pulmonary edema

目的通过总结3例颅内动脉瘤破裂合并神经源性肺水肿患者的护理过程,提高护士急救处理能力。方法回顾湖北省第三人民医院神经外科在2022年2月至7月期间3例颅内动脉瘤破裂伴蛛网膜下腔出血合并神经源性肺水肿病例(女性,42~53岁),查找文献,从流程职责管理、原发病治疗要点及病情观察、肺水肿的护理治疗、循环系统管理、颅内动脉瘤护理等方面总结护理救治经验。结果3例患者均成功救治,3例术前深度昏迷患者经过有效救治与护理,均神智清楚,生活完全自理。结论颅内动脉瘤破裂出血合并神经源性肺水肿患者经过合理及时的诊疗、有效的护理可以大大降低并发症的发生,能提高患者的生活质量,减轻家庭和社会负担。

Objective To summarize the nursing process of 3 patients with intracranial aneurysm rupture and neurogenic pulmonary edema,and improve the nurses'ability of emergency treatment.Methods Three patients(all female,aged 42-53 years)with intracranial aneurysm rupture with subarachnoid hemorrhage and neurogenic pulmonary edema admitted to Neurosurgery,The Third People's Hospital of Hubei Province from February to July 2022 were reviewed,and the related literatures were searched.The nursing and treatment experiences were summarized from the aspects of process and responsibility management,primary disease treatment points and condition observation,nursing and treatment of pulmonary edema,circulatory system management,and nursing of intracranial aneurysm.Results All the 3 patients were successfully treated.After effective treatment and nursing,3 patients with deep coma before operation were clear in mind and took care of themselves completely.Conclusion Reasonable and timely diagnosis and treatment and effective nursing can greatly reduce the occurrence of complications in patients with intracranial aneurysm rupture and neurogenic pulmonary edema,improve their quality of life,and reduce the burden of family and society.