多发肋骨骨折合并降主动脉破裂出血及创伤性湿肺患者的术后护理

doi:10.3761/j.issn.2096-7446.2024.02.004

中华急危重症护理杂志 ›› 2024, Vol. 5 ›› Issue (2): 121-124.doi: 10.3761/j.issn.2096-7446.2024.02.004

多发肋骨骨折合并降主动脉破裂出血及创伤性湿肺患者的术后护理

余娜

324000 浙江省衢州市衢州市人民医院急诊重症监护室

收稿日期:2023-08-02 出版日期:2024-02-10 发布日期:2024-02-20
作者简介:余娜：女,本科,护师,E-mail：857921334@qq.com

Postoperative nursing care of a patient with multiple rib fractures combined descending aorta rupture bleeding and traumatic wet lung

YU Na

Received:2023-08-02 Online:2024-02-10 Published:2024-02-20

摘要/Abstract

摘要： 总结了1例多发肋骨骨折合并降主动脉破裂出血、创伤性湿肺患者的护理体会。护理要点：早期识别再出血风险;积极预防肺部并发症;实施分阶段锻炼,预防深静脉血栓;精细化营养护理及提供个性化心理护理。通过实施多层面干预措施,改善患者预后,术后10 d患者出院,随访1个月,患者恢复良好。

关键词: 肋骨骨折, 主动脉破裂, 创伤性湿肺, 危重病护理

Abstract: This article summarized the nursing experience of a patient with multiple rib fractures combined with descending aorta rupture bleeding and traumatic wet lung. Nursing points included early identification of the risk of rebleeding,active prevention of pulmonary complications,implementation of phased exercise to prevent deep vein thrombosis,refined nutritional care and personalized psychological care. By implementing multi-level intervention measures,the prognosis of patients was improved and he was discharged 10 days after surgery. The patient was followed up for one month and recovered well.

Key words: Rib Fractures, Aortic Rupture, Traumatic Wet Lung, Critical Care Nursing

余娜. 多发肋骨骨折合并降主动脉破裂出血及创伤性湿肺患者的术后护理[J]. 中华急危重症护理杂志, 2024, 5(2): 121-124.

YU Na. Postoperative nursing care of a patient with multiple rib fractures combined descending aorta rupture bleeding and traumatic wet lung[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(2): 121-124.

参考文献

[1] 赵永峰,田忠祥,王丹. 创伤性湿肺胸片与CT平扫的对比研究[J]. 中国医学计算机成像杂志,2014,20(6):501-503.
Zhao YF,Tian ZX,Wang D.A comparative study on the traumatic wet lung diagnosed with X-ray and CT scanning[J]. Chin Comput Med Imaging,2014,20(6):501-503.
[2] Wang FY,Fang B,Yu ZH,et al.Severe thoracic trauma caused left pneumonectomy complicated by right traumatic wet lung,reversed by extracorporeal membrane oxygenation support-a case report[J]. BMC Pulm Med,2019,19(1):30.
[3] Ho XN,Wee IJ,Syn N,et al.The endovascular repair of blunt traumatic thoracic aortic injury in Asia:a systematic review and meta-analysis[J]. Vascular,2019,27(2):213-223.
[4] Sun JW,Ren K,Zhang LY,et al.Traumatic blunt thoracic aortic injury:a 10-year single-center retrospective analysis[J]. J Cardiothorac Surg,2022,17(1):335.
[5] Chantrain VA,Lambert C,de Smet P,et al. Pain interferes with daily activities,emotions and sleep in adults with severe,moderate and mild haemophilia:a national cross-sectional survey[J]. Haemophilia,2023,29(2):521-529.
[6] 袁磊,张汉湘,周维纲,等. 乌司他丁联合肺保护性机械通气治疗急性肺损伤的临床研究[J]. 中国医师杂志,2020,22(9):1417-1419.
Yuan L,Zhang HX,Zhou WG,et al.Clinical study of ulinastatin combined with lung protective mechanical ventilation in the treatment of acute lung injury[J]. J Chin Physician,2020,22(9):1417-1419.
[7] 中华医学会呼吸病学分会肺栓塞与肺血管病学组,中国医师协会呼吸医师分会肺栓塞与肺血管病工作委员会,全国肺栓塞与肺血管病防治协作组. 肺血栓栓塞症诊治与预防指南[J]. 中华医学杂志,2018,98(14):1060-1087.
Pulmonary Embolism and Pulmonary Vascular Disease Group of Respiratory Branch of Chinese Medical Association,Pulmonary Embolism and Pulmonary Vascular Disease Working Committee of Respiratory Branch of Chinese Medical Doctor Association,National Collaborative Group on the Prevention and Treatment of Pulmonary Embolism and Pulmonary Vascular Disease. Guidelines for diagnosis,treatment and prevention of pulmonary thromboembolism[J]. Natl Med J China,2018,98(14):1060-1087.
[8] 韩汝宁,李秀川,赵士兵,等. ICU患者早期康复方案的构建及应用研究[J]. 中华护理杂志,2020,55(1):8-15.
Han RN,Li XC,Zhao SB,et al.Construction and application of early rehabilitation scheme for Intensive Care Unit patients[J]. Chin J Nurs,2020,55(1):8-15.
[9] 孙仁华,江荣林,黄曼,等. 重症患者早期肠内营养临床实践专家共识[J]. 中华危重病急救医学,2018,30(8):715-721.
Sun RH,Jiang RL,Huang M,et al.Consensus of early enteral nutrition clinical practice in critically ill patients[J]. Chin Crit Care Med,2018(8):715-721.
[10] Maercker A,Cloitre M,Bachem R,et al.Complex post-traumatic stress disorder[J]. Lancet,2022,400(10345):60-72.

[1]	杨莉, 徐晓滨, 王华芬. 功能性近红外光谱在急危重症患者护理中的应用进展[J]. 中华急危重症护理杂志, 2026, 7(7): 836-840.
[2]	柳小婷, 王萍, 徐亦虹, 范婷婷, 付真真, 熊子菡, 何蓓蕾, 陈晓晖, 章晓明, 舒妍. 巨结肠类缘病术后并发超短肠综合征伴多造口患者的护理[J]. 中华急危重症护理杂志, 2026, 7(7): 849-851.
[3]	邵丽红, 李春艳, 董晓琪, 王巧琳, 叶国凤, 赵巧梅. 口腔多原发癌患者游离皮瓣移植术后多重严重并发症的护理[J]. 中华急危重症护理杂志, 2026, 7(7): 852-855.
[4]	张慧, 何雪花, 王莉, 宫晓艳, 庄一渝. 边缘供心心脏移植术后患者原发性移植物功能障碍的早期预警与护理[J]. 中华急危重症护理杂志, 2026, 7(6): 682-684.
[5]	曾妃. 家族性肥厚型心肌病合并肝功能衰竭患者行心肝同期联合移植的护理[J]. 中华急危重症护理杂志, 2026, 7(6): 685-688.
[6]	羊木英, 范文琪, 胡汉. 维持性血液透析患者透析中脑出血的早期识别与急救护理[J]. 中华急危重症护理杂志, 2026, 7(6): 704-706.
[7]	庄佳妮, 李小珍, 史超强, 王英, 谭丽萍. 颈深部感染致纵隔脓肿患者的围手术期护理[J]. 中华急危重症护理杂志, 2026, 7(6): 707-709.
[8]	李改乐, 潘文彦, 李菁菁, 刘霄, 唐颖嘉, 侯进. 肝移植患者术后并发耶氏肺孢子菌与巨细胞病毒感染的护理[J]. 中华急危重症护理杂志, 2026, 7(6): 710-713.
[9]	王燕, 卢芳燕, 刘元, 王芳. 进行性家族性肝内胆汁淤积症患儿行亲体肝移植的术后护理[J]. 中华急危重症护理杂志, 2026, 7(6): 714-716.
[10]	王淑君, 鲁虹言, 杨林娜. 《成人吸入性损伤气管切开术后气道内吸引技术》团体标准解读[J]. 中华急危重症护理杂志, 2026, 7(5): 569-573.
[11]	董莲莲, 罗雪莉, 魏文静, 陈玲欣, 任红艳, 宫晓艳. 硫胺素缺乏致湿性脚气病伴多器官功能损害患者的护理[J]. 中华急危重症护理杂志, 2026, 7(5): 591-594.
[12]	臧瑞津, 李玲玲, 郑苗, 钟娟平, 南锐伶, 王兴蕾, 豆欣蔓. 瞳孔测量在危重症患者疼痛评估中的应用进展[J]. 中华急危重症护理杂志, 2026, 7(5): 631-635.
[13]	徐峰, 章毅, 王秀玲, 潘丽丽, 诸纪华. 先天性无痛无汗症患儿合并脓毒症并发惊厥持续状态的护理[J]. 中华急危重症护理杂志, 2026, 7(4): 450-452.
[14]	孙春艳, 胡蕾. 神经源性直立性低血压合并仰卧位高血压患者的护理[J]. 中华急危重症护理杂志, 2026, 7(4): 456-458.
[15]	沈丹军, 诸纪华, 徐红贞, 冯佳艳, 郑虹, 叶飞亚, 盛美君. 兰尼碱受体2基因变异相关儿茶酚胺敏感性多形性室性心动过速患儿的护理[J]. 中华急危重症护理杂志, 2026, 7(3): 312-315.

多发肋骨骨折合并降主动脉破裂出血及创伤性湿肺患者的术后护理

Postoperative nursing care of a patient with multiple rib fractures combined descending aorta rupture bleeding and traumatic wet lung

PDF下载

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价