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麻醉后护理单元中的气道急症

Airway emergencies in the post anesthesia care unit.

作者信息

Odom J L

机构信息

Forrest General Hospital, Hattiesburg, MS.

出版信息

Nurs Clin North Am. 1993 Sep;28(3):483-91.

PMID:8367320
Abstract

Airway emergencies are frequently seen in the PACU. Six of the more common airway emergencies have been discussed. The upper-airway emergencies discussed included soft tissue obstruction, laryngeal edema, and laryngospasm. The lower-airway emergencies discussed included bronchospasm, noncardiogenic pulmonary edema, and aspiration. The PACU nurse must be ever vigilant. Knowing the definition, pathophysiology, signs and symptoms, patients at risk, and treatment modalities should prepare the PACU nurse for immediate response in the event of a crisis. Many times, the speed in which the emergency is identified and the treatment is begun determines the final outcome for the patient.

摘要

气道急症在麻醉后护理单元(PACU)中很常见。本文讨论了六种较为常见的气道急症。所讨论的上气道急症包括软组织梗阻、喉水肿和喉痉挛。所讨论的下气道急症包括支气管痉挛、非心源性肺水肿和误吸。PACU护士必须时刻保持警惕。了解定义、病理生理学、体征和症状、高危患者以及治疗方式,应能让PACU护士在危机发生时立即做出反应。很多时候,识别急症并开始治疗的速度决定了患者的最终结局。

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