44例肺结核大咯血患者的抢救及临床护理对策.docVIP

精品论文 参考文献 44例肺结核大咯血患者的抢救及临床护理对策 徐桂香 　　（江苏连云港第四人民医院 江苏连云港 222023） 　　【摘要】目的：探究肺结核大咯血患者的有效抢救和临床护理措施，减少死亡率。方法：采取对照试验法，把我院收治的44例肺结核大咯血患者作为研究对象，随机分为对照组和实验组，对照组采用常规护理方式进行抢救，实验组采用健康教育护理模式进行有效的急诊护理措施。结果：经过治疗后比较两组患者诊疗的有效率，实验组明显优于对照组，并发症发生率及患者满意度均优于对照组。结论：对肺结核大咯血患者实施健康教育护理模式进行药物治疗、心理护理、病情观察、基础护理、预见性护理措施等，可减少窒息发生，提高抢救成功率[1]，降低患者死亡率。 　　【关键词】肺结核；大咯血；抢救；护理干预 　　【中图分类号】R472 【文献标识码】B 【文章编号】1007-8231（2015）16-0159-02 　　【Abstract】 Objective To explore the effective treatment and clinical nursing measures of hemoptysis of pulmonary tuberculosis patients, reduce the mortality rate,. Method Take control test, admitted to our hospital from 44 cases of pulmonary tuberculosis hemoptysis patients as the research object, randomly assigned to the control group and the experimental group, control group were treated with routine care for emergency treatment, the experimental group used health education and nursing mode were effective emergency nursing measures. Results After the treatment after diagnosis and treatment of the patients in the two groups were compared the efficiency, the experimental group was significantly better than the control group, incidence of complications and patient satisfaction were superior to the control group. Conclusion For patients with severe hemoptysis of pulmonary tuberculosis implementation of health education and nursing mode of drug treatment, psychological nursing, disease observation, basic nursing, foresee nursing measures etc. can reduce asphyxia, to improve the success rate of rescue 1 to reduce the mortality of patients. 　　【Key words】Pulmonary tuberculosis massive hemoptysis rescue nursing intervention 　　咯血是指喉及喉以下的呼吸道及肺组织的血管破裂导致的出血并经咳嗽动作从???腔排出。肺结核大咯血是肺结核最常见的一种并发症，约占肺结核患者的三分之一[1]。如果患者不能得到及时有效的抢救，可导致患者窒息并死亡等并发症，是引起患者突然死亡的重要因素[2]。我科2014年6月～2015年12月收治肺结核咯血患者44例，经过精心的治疗与护理，收到了满意的疗效，现将对患者的观察和护理总结介绍如下。 　　1.临床资料与方法 　　1.1 临床资料 　　以在我院接受治疗的44例肺结核大咳血的患者为研究对象，其中男性患者38例，女性患者6例，年龄在18～90岁之间，平均年龄为42岁，其中合并肺部感染22例，合并糖尿病3例；