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外伤性脾破裂的临床护理(1)
http://www.100md.com 2012年2月1日 健康必读·中旬刊 2012年第2期
外伤性脾破裂的临床护理,临床效果Clinical,care,of,traumatic,rupture
     摘要:目的:探讨分析外伤性脾破裂的护理要领以及经验总结。方法:选取2010年1月~2011年5月于我院进行治疗的30例外伤性脾破裂患者为研究对象。对所有患者严密监测生命体征,加强药物、康复、预防并发症、心理等各方面护理。观察治疗护理后的效果。结果:经过精细护理后, 30例中因有1例合并多发性骨折和肺部挫伤,在抢救1h后因呼吸衰竭死亡,其余的均全部救活,成功率达96.7%;经过临床的手术等治疗后均全部治愈,治愈率达100%,其中有2例出现肺部感染、内脏再次出血等并发症,并发症的发生率为6.9%,出院前全部进行满意度评估,30例患者全部满意,患者的满意度为100%。结论:通过密切观察、积极抢救和精心有效护理,能及时发现掌握患者病情变化,并及时做出抢救措施,达到最佳的治疗效果,促进疾病痊愈,从而提高医疗护理质量和患者生存质量。

    关键词:外伤性脾破;护理;临床效果Clinical care of traumatic rupture of

    Ma Yueping

    Abstract:Objective:Explore the analysis of traumatic rupture of the essentials of care and experience. Methods:Selected from January 2010 to May 2011 in our hospital for treatment, 30 cases of traumatic splenic rupture in patients with the object of study. Close monitoring of vital signs in all patients, to strengthen all aspects of drugs, rehabilitation, prevention of complications, and psychological care. Observe the effect of treatment and care. Results:After fine care, 30 cases due to cases with multiple fractures and lung contusion, died of respiratory failure in the rescue for 1h, and the rest were all saved, a success rate of 96.7%; Were all cured after the treatment of clinical surgery, the cure rate of 100%, including two cases of pulmonary infection and visceral re-bleeding and other complications, the incidence of complications was 6.9%, all of the satisfaction assessment before discharge,30 patients were all satisfied, 100% patient satisfaction. Conclusion:Through close observation, and actively rescue and well effective care, and can find the master of illness in patients and make timely rescue measures, to achieve the best treatment to promote recovery from the illnesses, in order to improve the quality of medical care and patient quality of life. ......
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