一例外伤致高位截瘫患者的个案护理

Case nursing care of a patient with high paraplegia caused by injury

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DOI 10.12208/j.jmnm.2023000494
刊名
Journal of Modern Nursing MedicineJPCNS
年,卷(期) 2023, 2(8)
作者
作者单位

云南省中医医院 云南昆明 ;

摘要
本文报告了一例外伤所致第 4 颈椎骨折脱位伴高位截瘫、并经气管插管,气管切开,呼吸机辅助呼 吸 10 余天无护理并发症的患者的护理体会颈椎骨折常伴有颈髓和神经损伤。通过严密监护,及时气管切开,给予 人工气道,有效的吸痰,采取多种措施预防呼吸道感染、加强整体护理等措施,患者住院期间生命体征平稳,无明显呼 吸道并发症出现,住院 22 天后成功脱离呼吸机,康复出院。
Abstract
This paper reports the nursing experience of a case of traumatic fracture dislocation of the fourth cervical vertebra with high paraplegia, and without nursing complications after Tracheal intubation, tracheotomy, and ventilator assisted breathing for more than 10 days. Through close monitoring, timely tracheotomy, artificial airway administration, effective sputum suction, various measures to prevent respiratory tract infections, and strengthened overall care, the patients vital signs remained stable during hospitalization without obvious respiratory complications. After 22 days of hospitalization, the patient successfully withdrew from the ventilator and was discharged after rehabilitation.
关键词
呼吸道护理;呼吸机辅助呼吸;颈椎骨折;高位截瘫
KeyWord
Respiratory care; Ventilator assisted breathing; Cervical spine fracture; High paraplegia
基金项目
页码 94-96
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孟继翠*. 一例外伤致高位截瘫患者的个案护理 [J]. 现代护理医学杂志. 2023; 2; (8). 94 - 96.

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