25例尿毒症性肺水肿的护理体会
尿毒症；肺水肿；护理,,],尿毒症；肺水肿；护理,1临床资料,2护理措施,3讨论,[参考文献]
25例尿毒症性肺水肿的护理体会 (pdf)[摘要] 目的 探讨尿毒症性肺水肿的护理措施。 方法 共治护25例肺水肿患者，对尿毒症性肺水肿除采取常规护理措施外，应做到以下几点特殊护理：(1)密切观察血压、呼吸、血氧饱和度、近期尿量变化；(2)有效控制血压；(3)采取不同的透析方式适时适量透析超滤并加强透析中的护理；(4)改善全身营养状况、纠正贫血、预防肺部感染；(5)牢记护理程序体位—吸氧—血管扩张药—血液透析；(6)严格控制入量。结果 25例患者中抢救成功21例，死亡4例。结论 采取积极治疗和护理对抢救尿毒症性肺水肿患者有较好效果。
[关键词] 尿毒症；肺水肿；护理
Nursing for 25 patients with pulmonary edema related to uremia
DENG Shaorong.The People’s Hospital of Yuechi County,Yuechi 638000,China
[Abstract] Objective To explore nursing measures for patients with pulmonary edema related to uremia. Methods Treatment and nursing were performed on 25 patients with pulmonary edema related to uremia.When nursing patients with pulmonary edema related to uremia,besides general nursing measures,the following aspects should be included:(1)specially observing the blood pressure,respiration and arterial blood oxygen saturation and urine volume of patients;(2)controlling the blood pressure of patients effectively;(3)dialysing or ultrafiltrating in proper manner and at proper time,meanwhile nursing carefully during dialysis;(4)ameliorating the general nutritional status of patients to prevent infection of the lungs;(5)keeping firmly in mind the care program:postoxygendrugs of vasodilatationhemodialysis;(6)controlling water drinking.Results Of the 25 patients,21 cases were rescued successfully,4 cases were died.Conclusion It has good effect on patients with pulmonary edema related to uremia by positive trearment and nursing. ......
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