頁籤選單縮合
題名 | 腹部外傷護理=Nursing Care of Abdominal Trauma |
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作者 | 丁玉芝; | 書刊名 | 榮總護理 |
卷期 | 13:1 1996.03[民85.03] |
頁次 | 頁25-33 |
分類號 | 419.73 |
關鍵詞 | 腹部外傷; 出血性休克; 敗血性休克; Abdominal trauma; Hypovolemic shock; Septic shock; |
語文 | 中文(Chinese) |
中文摘要 | 腹部外傷主要是因鈍傷或穿刺傷造成,鈍傷、穿刺傷會造成組織器官的損傷出血, 有些器官也會因受損而其內容物外漏,易導致出血性休克或敗血性休克的發生。對於腹部外 傷病患之護理,首先是要能維持病人呼吸道之通暢,持續監測並維持血氧飽合度≧90%。並 且要先予止血,給予體液之補充,維持血壓≧90╱60mmHg。然後做胸腹部X光、視需要給 予診斷性腹膜灌洗術、超音波及電腦斷層掃描之各項診斷性檢查,持續詳細的身體評估檢查, 病史之收集,及早診斷腹內受傷之部位,決定給予手術或非手術性治療。護理人員須持續監 測觀察,維持病人組織有良好的血液及足夠的氧氣,給予良好的營養支持,預防感染之發生, 減輕病人傷口疼痛之不適,降低病人之焦慮。使病人能及早復原,降低腹部外傷造成的死亡 率。 |
英文摘要 | Injury caused trauma by penetration and blunt remain the major causes of abdominal trauma. Abdominal trauma may not only cause hypovolemic shock due to internal bleeding, but it can also induce septic shock as a result of hallow organ perforation. Initial treatment and nursing for abdominal trauma consist of the following procedure. Make sure that the airway is patent and keep SaO2≧90%. Stop bleeding, restore consciousness and keep blood pressure≧90/60 mmHg, the follow by a series of diagnostic procedures such as X-ray examination, diagnostic peritoneal lavage, sonogram and CT scan with meticulous history taking and physical examination. Intrabdominal lesion should be evaluated as soon as possible, so that an operation can be arranged if necessary. Monitor the hemodynamic change of the patient's nursing continuously. It is also essential to keep good tissue perfusion. Furthermore, nutritional support, pain control and psychological support to relief the would pain and anxiety is needed. We believe that following all these nursing care procedures can reduce the mortality rate of abdominal trauma and enable early recovery of the patient. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。