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目的探讨缺抗蛇毒血清救治银环蛇咬伤所致急性呼吸衰竭的护理措施。方法对2011年3月~2014年3月我院收治银环蛇咬伤未用抗银环蛇血清患者的临床资料进行回顾性分析,总结护理措施及特点,并评价患者的预后。结果 11例患者全部抢救成功,但住院时间较使用抗银环蛇血清的患者延长,差异有显著统计学意义(P<0.05);其中4例病人发生呼吸机相关性肺炎;2例患者因镇静不良,出现严重的焦虑与恐慌等精神症状。结论在缺抗银环蛇毒血清救治银环蛇咬伤致急性呼吸衰竭患者的抢救中,呼吸机辅助呼吸是抢救的主要措施,而正确执行护理措施、减少呼吸机相关性肺炎可提高抢救成功率。
Objective To investigate the nursing of acute respiratory failure caused by bites of snake venom serum after bleb injury. Methods From March 2011 to March 2014, the clinical data of patients without bingoensis who were treated with bingo snake bites in our hospital were retrospectively analyzed. The nursing measures and characteristics were summarized and their prognosis was evaluated. Results All the 11 patients were successfully rescued, but the hospitalization time was longer than that of the patients treated with anti-ring snake serum (P <0.05). Four patients developed ventilator-associated pneumonia and two patients had sedation Bad, serious mental anxiety and panic symptoms. Conclusions Ventilator-assisted respiration is the main measure to rescue the rescue of patients with acute respiratory failure caused by bored snakebite serum in the treatment of burglary snake bites. Correct implementation of nursing measures and reduction of ventilator-associated pneumonia can improve the rescue success rate .