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气腹性心包填塞:病例报告及对重症护理护士的启示

Cardiac tamponade resulting from pneumopericardium: case report and implications for the critical care nurse.

作者信息

Stechmiller J, Seymour S F, McGinn C J

出版信息

Heart Lung. 1987 Jul;16(4):442-8.

PMID:3298168
Abstract

Pneumopericardium resulting in cardiac tamponade may be caused by a variety of phenomena. The onset of cardiac tamponade can indicate the presence of a rare underlying condition. As a rare complication of mechanical ventilation and PEEP, our patient experienced pneumopericardium that resulted in cardiac tamponade. Perhaps the most crucial therapy of all is astute critical care nursing assessment of patients at risk of developing the life-threatening complication of cardiac tamponade. All critical care nurses should know the signs and symptoms of cardiac tamponade. Through accurate data collection, frequent monitoring, and immediate referral to the critical care team for medical diagnosis and treatment, a patient's death can be prevented.

摘要

导致心脏压塞的心包积气可能由多种现象引起。心脏压塞的发作可能表明存在罕见的潜在疾病。作为机械通气和呼气末正压通气的罕见并发症,我们的患者出现了导致心脏压塞的心包积气。也许最关键的治疗方法是对有发生危及生命的心脏压塞并发症风险的患者进行敏锐的重症护理评估。所有重症护理护士都应了解心脏压塞的体征和症状。通过准确的数据收集、频繁的监测以及立即将患者转诊至重症护理团队进行医学诊断和治疗,可以预防患者死亡。

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