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哮喘持续状态是呼吸系统的4大抢救病种之一,其发病与脱水、痰栓形成阻塞小支气管、精神紧张、接触过敏原、感染未能控制等原因有关,临床表现为呼吸极度困难、严重紫绀、大汗淋漓,甚至出现呼吸、循环衰竭。抢救措施主要包括:积极补液,大剂量皮质激素的应用。本文结合典型临床病例浅谈在抢救哮喘持续状态患者过程中有关输液方面的护理体会,报告如下:1.典型病例 例1:患者,男,35岁。自幼有哮喘病史,本次因反复气喘半月余,加重3天,昏迷半小时入院。入院时处于浅昏迷状态,大小便失禁,呼吸极度困难,P:136次/分,R:34次/分,Bp:14/9KPa,两肺广泛哮鸣音,心电图提示:肺型P波。即予氧疗,补液2800—
Asthma persistence is one of the four rescued diseases of the respiratory system. The incidence of asthma is related to dehydration, clogged bronchial formation of phlegm, mental stress, exposure to allergens, and uncontrollable infection. The clinical manifestations are extreme difficulty in breathing and severe Cyanosis, sweating, and even breathing, circulatory failure. Rescue measures include: active rehydration, high-dose corticosteroids. This article combined with the typical clinical case talk about the treatment of patients with persistent asthma in the process of infusion of nursing experience, the report is as follows: 1. Typical Case Example 1: The patient, male, 35 years old. Have a history of asthma since childhood, this time due to repeated asthma more than half, aggravating 3 days, coma for half an hour admitted to hospital. Admission at a shallow coma, incontinence, breathing extremely difficult, P: 136 beats / min, R: 34 beats / min, Bp: 14 / 9KPa, extensive lung wheeze of both lungs, ECG prompts: pulmonary P wave. That is, oxygen therapy, fluid 2800-