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題名 | 一位慢性支氣管炎病患急性呼吸衰竭之護理 |
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作者 | 雍海鵬; 高偉華; 張宗培; | 書刊名 | 榮總護理 |
卷期 | 12:4 1995.12[民84.12] |
頁次 | 頁313-320 |
分類號 | 419.73 |
關鍵詞 | 慢性支氣管炎; 急性呼吸衰竭; Chronic bronchitis; Acute respiratory failure; |
語文 | 中文(Chinese) |
中文摘要 | 慢性支氣管炎患者肺功能顯現阻塞性變化時,即患有慢性阻塞性肺疾病。罹患慢性阻塞性肺疾者,常因感染而致急性氣喘發作、右心衰辦、允肉疲乏、營養不良、甚至電解質不平衡而引發急性呼吸衰哀。一旦產生急性呼吸衰竭,對提高氧氣濃度的治療反應不良或患者無法增加換氣量時,使用機械換氣輔助是為必要手段,且須住進呼吸加護病給予加強照顧。本個案是護理一位75歲女性女性慢性支氣管炎併發急性呼吸辦的病患,杵文敘述患者接受矯正氧合狀態及換氣的治療,及提供脫離呼吸器的護理措施過程,旨在提出照顧此病患期間,依病情之進展程度不而提供相關適切的護理活動,使病患穩定地恢復而無點併症發生。僅將此護理經驗及心得提供同仁日後照顧類似病患之參考。 |
英文摘要 | The spirometric measurements of patients with chronic bronchitis revealed obstructive ventilatatory impairment. Together with includes in the clinical of chronic obstructive pulmonary disease (COPD). Complications of acute exacerbation derived from infection, corpulmonale, muscle fatigue, poor nutrition, fluid and electrolytes unbalanced all can cause acute respiratory failure. Mechanical ventilatiory support is indicated fro the management of gas exchange abnormality or hypoventilation during acute respiratory failure. It is safe to admit the patient who needs ventilatory support into the respiratory care unit. We present a case on chronic bronchitis complicated with acute respiratory failure, a 75-year-old female, in the respiratory care unit. After correction of oxygenation and ventilatory problem, her condition became stable. The purpose of this article is to apply optimal nursing care and adjust just the content according to the condition of the patient. Also, to avoid the occurrence of complications. We would like to share our experence and knowledge with collegues and for iuture reference on nursing care of similar patients. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。