1例特重度烧伤伴吸入性损伤患者并发喉痉挛的急救护理

doi:10.3761/j.issn.0254-1769.2023.21.013

中华护理杂志 ›› 2023, Vol. 58 ›› Issue (21): 2650-2652.DOI: 10.3761/j.issn.0254-1769.2023.21.013

1例特重度烧伤伴吸入性损伤患者并发喉痉挛的急救护理

闫丹萍(), 王钰炜, 王飒()

310052 杭州市浙江大学医学院附属第二医院急诊抢救室（闫丹萍），护理部（王钰炜），急诊医学科（王飒）

收稿日期:2023-01-13 出版日期:2023-11-10 发布日期:2023-11-10
通讯作者: 王飒，E-mail：2506025@zju.edu.cn
作者简介:闫丹萍：女，本科，主管护师，E-mail：2616217@zju.edu.cn

Emergency care for a patient with extra and severe burn with inhalation injury when establishing advanced airway

YAN Danping(), WANG Yuwei, WANG Sa()

Received:2023-01-13 Online:2023-11-10 Published:2023-11-10

摘要/Abstract

摘要：

总结1例特重度烧伤伴吸入性损伤患者在建立人工气道时出现喉痉挛的急救护理经验。护理要点：高风险气道患者人工气道建立过程中并发症的识别与处理，解除患者气道痉挛危险因素；进行早期镇静唤醒，使用简易沟通法，进行脱机呼吸评估及训练；使用主动升温措施，关注烧伤患者液体复苏与体温管理；创伤团队全流程管理，缩短特重度烧伤患者急诊停留时间。经44 d积极治疗与精细化护理，患者救治成功，顺利出院。

关键词: 烧伤, 吸入性损伤, 气道痉挛, 喉痉挛, 急救医疗服务

Abstract:

To summarize the emergency nursing experience of a patient with extremely severe burns and inhalation injury who developed laryngospasm when establishing an artificial airway. Nursing points include：identification and treatment of complications during artificial airway establishment for high-risk airway patients，and elimination of the risk factors of airway spasm in patients. Conduction of early sedation and awakening，the use of simple communicatio. Methods，and the conduction of off-line respiratory assessment and training. The use of active warming measures，and paying attention to fluid resuscitation and body temperature management of burn patients. Trauma team manages the whole process to shorten the emergency stay time of extremely severe burn patients. After 44 days of active treatment and meticulous nursing care，the patient was successfully treated and discharged from the hospital.

Key words: Burns, Inhalation Injury, Airway Spasm, Laryngospasm, Emergency Medical Services

闫丹萍, 王钰炜, 王飒. 1例特重度烧伤伴吸入性损伤患者并发喉痉挛的急救护理[J]. 中华护理杂志, 2023, 58(21): 2650-2652.

YAN Danping, WANG Yuwei, WANG Sa. Emergency care for a patient with extra and severe burn with inhalation injury when establishing advanced airway[J]. Chinese Journal of Nursing, 2023, 58(21): 2650-2652.

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1例特重度烧伤伴吸入性损伤患者并发喉痉挛的急救护理

Emergency care for a patient with extra and severe burn with inhalation injury when establishing advanced airway

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