1例腹主动脉瘤破裂出血合并多器官功能衰竭患者的护理.docxVIP

1例腹主动脉瘤破裂出血合并多器官功能衰竭患者的护理 目录 摘要1关键 词1 Abstractl Keywords1 引言2 1临床资料2 1 一般资料2 1.2治疗措施2 2护理3 1及时有效的抢救与护理31. 1呼吸衰竭的抢救与护理3 1.2循环衰竭的抢救与护理31. 3急性肾功能衰竭的护理3 的观察41生命体征及循环监测4 腹部体征的观察4下肢血液循环的观察4 其他基础疾病的观察53建立静脉通路5 皮肤护理5呼吸道管理6 疼痛的管理62. 7绝对卧床休息6 2. 8饮食护理62. 9心理护理7 2. 10睡眠护理72. 11各类管路的护理7 中心静脉导管的维护72. 11.2胃管的护理8 2. 11.3留置导尿管的护理83结论8参考文 献10致谢H1例腹主动脉瘤破裂出血合并多器官功能衰竭患者的护理 摘要：目的 探讨破裂腹主动脉瘤破裂(ruptured abdominal aortic aneurysm, RAAA)出血危重合并多器官 功 能衰竭的护理措施，提高护理效果，为日后护理工作总结经验。方法回顾某院ICU 2021年2月22日接诊的1例破 裂腹 主动脉瘤患者的临床资料，分析破裂腹主动脉瘤的病程特点、治疗、预后，总结在重症监护室的观察要点及 护理措 施。结果患者预后良好，病情稳定转出ICU。结论 护理人员在全面了解破裂性腹主动脉瘤以及出血以及 高钠血症的临床特点，进行有效的抢救、治疗配合，采取适当而全面的护理措施，严密观察患者的病情变化，做 好心理护理才 能最大程度的挽救患者的生命，提高患者的生存质量。 关键词：腹主动脉瘤破裂 多器官功能衰竭 护理 Nursing of a patient with ruptured abdominal aortic aneurysm and hemorrhage complicated with multiple Organ Failure Nursing major Ding Xutong Tutor Ning Xiaozhi Abstract: Objective To explore the critical nursing measures of ruptured abdominal aortic aneurysm (RAAA) and hemorrhage complicated with multiple Organ Failure, search for related factors, summarize nursing experience ,continuous improvement of nursing procedures, improve the effect of nursing gym and better guide the clinical practice activities. Methods The clinical data of a patient with ruptured abdominal aortic aneurysm(RAAA)complicated with hemorrhage admitted by ICU in the hospital on February 2021 were reviewed,the course characteristics, treatment and prognosis of ruptured abdominal aortic aneurysm(RAAA) were analyzed, and the observation points and nursing measures in ICU were summarized. Result After anti-infection and anti-shock treatment, the vital signs were stable, the patient had a good prognosis and was transferred out of the ICU with stable condition. Conclusion For nursing staff can fully understand the clinical characteristics of ruptured abdominal aortic aneurysm(RAAA) and hemorrhage,carry out effective rescue and treatment cooperation,and take appropriate and comprehensive nursing intervention measures, obser