放化疗相关性肺损伤患者行目标导向性体位引流的护理

doi:10.3761/j.issn.2096-7446.2023.01.012

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (1): 55-57.doi: 10.3761/j.issn.2096-7446.2023.01.012

放化疗相关性肺损伤患者行目标导向性体位引流的护理

包丽芳, 李茜, 朱祎容, 王丽竹

310000 杭州市浙江大学医学院附属第二医院重症医学科

收稿日期:2022-02-10 出版日期:2023-01-10 发布日期:2023-01-13
作者简介:包丽芳：女,本科,主管护师,E-mail：2615473@zju.edu.cn

Nursing of goal-directed postural drainage for chemoradiotherapy related lung injury

BAO Lifang, LI Qian, ZHU Yirong, WANG Lizhu

Received:2022-02-10 Online:2023-01-10 Published:2023-01-13

摘要/Abstract

摘要： 总结1例放化疗相关性肺损伤患者行俯卧位下目标导向性体位引流的护理体会。护理要点：针对本例患者两肺多发渗出、实变,采取目标导向性体位引流联合精准的气道廓清技术;针对俯卧位压力性损伤高风险,采取全方位精细化皮肤管理;针对俯卧位过程中腹泻的发生,采用大便失禁管理套件。经精心监护治疗35 d,患者病情稳定转入普通病房,7 d后康复出院。

关键词: 引流, 体位, 气道廓清技术, 腹泻, 危重病护理

Abstract: To summarize the nursing experience of goal-directed postural drainage during prone position for a patient with chemoradiotherapy related lung injury. For the multiple exudation and consolidation of lung in this patient,goal-directed postural drainage combined with precise airway clearance techniques was adopted. For the high risk of pressure injury in prone position,comprehensive and refined skin management was implemented. For the occurrence of diarrhea during prone position,fecal management system was used. After 35 days of careful monitoring and treatment,the patient was transferred to a general ward and recovered 7 days later.

Key words: Drainage, Postural, Airway clearance technology, Diarrhea, Critical Care Nursing

包丽芳, 李茜, 朱祎容, 王丽竹. 放化疗相关性肺损伤患者行目标导向性体位引流的护理[J]. 中华急危重症护理杂志, 2023, 4(1): 55-57.

BAO Lifang, LI Qian, ZHU Yirong, WANG Lizhu. Nursing of goal-directed postural drainage for chemoradiotherapy related lung injury[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(1): 55-57.

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放化疗相关性肺损伤患者行目标导向性体位引流的护理

Nursing of goal-directed postural drainage for chemoradiotherapy related lung injury

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