BIPAP呼吸机治疗老年肺性脑病患者的观察及护理2015

BIPAP 呼吸机治疗老年肺性脑病患者的观察及护理【摘要】目的探讨 BIPAP 无创正压通气对肺性脑病患者的疗效及护理要点。方法总结对 36例肺性脑病患者使用 BIPAP 呼吸机进行的治疗，内科护理及呼吸机的护理经验。结果经过治疗和精心护理后，病情好转并脱机出院患者共 33 例 (91．67％)，因患者自身不耐受或肺部严重感染后出现低通气，拒用有创通气所致死亡患者 3 例 (8．33％)结论同时正确评估患者，加强心理护理，保证气道通畅对 COPD 肺性脑病患者也起着至关重要的作用。结论无创正压通气是一种安全、有效的抢救和治疗方法，值得临床广泛应用。【关键词】无创正压通气；老年；肺性脑病；护理BIPAP ventilator therapy observation and nursing care of senile patients with pulmonaryencephalopathyShanghai jiading central hospitalgao pingPeng LifangYu Yanfang【 Abstract 】 Objectiveinvestigate BIPAP noninvasive positive pressure ventilation in patientswith pulmonary encephalopathy of curative effect and nursing key points. Methodssummarizeof 36 patients with pulmonary encephalopathy using BIPAP ventilator treatment, medical careand nursing experience of breathing machine. ResultsAfter treatment and carefulnursing,Improved and a total of 33 patients with offline discharge (91.67%),Due to the patient'sown intolerance or severe pulmonary infection after low ventilation,Refuse to use 3 patients withinvasive ventilation caused by death (8.33%)。Results Correctly evaluate patients at the sametime, strengthen the psychological nursing, ensure that the airway patency in patients with COPDpulmonary encephalopathy also plays an important role. Conclusion Noninvasive positivepressure ventilation is a safe and effective rescue and treatment, is worth wide application in theclinical practice.【 key words 】 noninvasive positive pressure ventilation; Old age; Pulmonary encephalopathy;nursing肺性脑病是因为呼吸功能衰竭造成的低氧血症与高碳酸血症等所导致的弥漫性脑损害，是患有慢性阻...