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目的对60例肺心病合并呼吸衰竭患者的护理体会进行阐述。方法选择辽宁省人民医院2015年1月至2016年1月收治的肺心病合并呼吸衰竭患者60例,年龄65~92岁,平均年龄(73±11.5)岁,经X线、心电图、彩色超声心动图、血气分析等项检查,并结合临床症状,符合肺心病诊断标准。所有病例Pa O2<8.0 k Pa(60 mm Hg)、PaCO_2>6.6 kPa(50 mm Hg),表示有合并呼吸衰竭。在做好基础和常规护理的前提下,针对患者的心理、生理特点,采取优质的护理措施,做好呼吸、循环功能的监测,加强预防,保证气道通畅,及时处理并发症,指导饮食和康复锻炼。结果所有患者在精准的治疗与优质护理下,症状均得以控制并好转,无1例出现护理并发症。结论肺心病患者发展到失代偿期往往合并呼吸衰竭,因此要求我们要加强监测,对此类患者提供更加细致、有效的优质护理。在本研究中,60例患者收到了满意的临床效果。此护理方案在提高患者生存质量,改善预后方面具有重要意义,值得研究和推广。
Objective To describe the nursing experience of 60 patients with pulmonary heart disease complicated with respiratory failure. Methods Sixty patients with pulmonary heart disease and respiratory failure who were admitted to Liaoning Provincial People’s Hospital from January 2015 to January 2016 were aged 65 to 92 years and mean age (73 ± 11.5) years old. They were examined by X-ray, electrocardiogram, color echocardiography Figure, blood gas analysis and other items checked, combined with clinical symptoms, in line with diagnostic criteria for pulmonary heart disease. PaO2 <8.0 kPa (60 mm Hg) and PaCO_2> 6.6 kPa (50 mm Hg) in all cases, indicating a combination of respiratory failure. Under the premise of basic and routine nursing, taking good psychological and physiological characteristics of patients, taking good nursing measures, monitoring respiration and circulatory function, strengthening prevention, ensuring airway patency, timely treatment of complications, guiding diet and Rehabilitation exercise. Results All patients under the accurate treatment and quality care, the symptoms were controlled and improved, no case of nursing complications occurred. CONCLUSIONS: The development of patients with cor pulmonale into decompensation often involves respiratory failure. Therefore, we need to step up monitoring to provide more detailed and effective quality care for these patients. In this study, 60 patients received satisfactory clinical results. This nursing program is of great significance in improving patient quality of life and improving prognosis, which is worth studying and popularizing.