Abstract:

To summarize the lung rehabilitation nursing experience of a case of severe diffuse axonal injury with pulmonary contusion. The key points of nursing care include establishing a multidisciplinary lung rehabilitation management team,carrying out personalized respiratory support,using descending step sequential oxygen therapy,giving precise clearance of the respiratory tract,and carrying out early strategies of lung rehabilitation based on the integrated mode of “health,care,rehabilitation,and patient”. With the effort of multidisciplinary team cooperation,the ventilator was removed 12 days after admission. The patient received extubation on the 17th day after admission and got out of bed on the 20th day after admission,and was discharged smoothly on the 37th day after admission. During the 6-month follow-up,the patient recovered well.

Key words: Diffuse Axonal Injury, Pulmonary Contusion, Severe Traumatic Brain Injury, Lung Rehabilitation, Nursing Care

摘要：

总结1例重型弥漫性轴索损伤伴肺挫裂伤患者的肺康复护理经验。护理要点包括：组建多学科肺康复管理团队,实施个性化呼吸支持与降阶梯序贯氧疗护理,精准廓清呼吸道,开展一体化的早期肺功能康复锻炼。经过多学科团队合作,患者入院后第12天撤离呼吸机,第17天拔除气管插管,第20天下床活动,第37天顺利出院,随访6个月,患者恢复良好。

关键词: 弥漫性轴索损伤, 肺挫裂伤, 重型颅脑损伤, 肺康复, 护理