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目的探讨老年重症肺炎合并弥漫性肺泡出血的治疗方法及相关护理措施。方法选取2014年1月至2015年1月我院收治的重症肺炎合并弥漫性肺泡出血患者10例,对其临床资料进行回顾性分析。全部患者均行呼吸机机械通气,并开展针对性抗生素治疗,对原发疾病进行积极治疗。结果经过治疗后,本次患者中有6例患者发生死亡,死亡率为60.00%。死亡时间5-20d,平均(9.1±2.8)d。结论老年重症肺炎合并弥漫性肺泡出血患者的护理干预应从人工气道出血护理、机械通气护理、密切观察病情变化、维持内环境稳定等方面入手,使患者的疾病得到有效救治。
Objective To explore the treatment of elderly patients with severe pneumonia and diffuse alveolar hemorrhage and related nursing measures. Methods Ten patients with severe pneumonia and diffuse alveolar hemorrhage admitted to our hospital from January 2014 to January 2015 were retrospectively analyzed. All patients underwent ventilator mechanical ventilation, and targeted antibiotic treatment, active treatment of primary disease. Results After treatment, 6 patients died of this disease, the mortality rate was 60.00%. Death time 5-20d, mean (9.1 ± 2.8) d. Conclusions Nursing intervention in patients with severe pneumonia complicated with diffuse alveolar hemorrhage should start with the artificial airway bleeding nursing, mechanical ventilation nursing care, closely observe the condition changes and maintain the stability of the internal environment so that the patient’s disease can be effectively treated.