老年男性颈部损伤危重患者CT检查1例的护理体会

S. Liang, Xueke Wen, Y. Chi, Yongguang Chen, Lin Qiu, Chunliu Luo
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引用次数: 0

摘要

我们报告一名63岁男性在2019年8月30日上午骑自行车时意外摔倒,并被一根4厘米厚的竹竿插入颈部。在抢救过程中,患者精神状态较差,表现为精神状态紧张、恐惧、焦虑、不安。患者于9月9日拆线,10天康复出院。因患者面色苍白,呼吸稍短促,生命体征暂时稳定,全身多发血痂,行颈部CT平扫、增强、3D重建,胸部CT平扫、增强、3D重建。之后,患者被送往手术室,他接受了适当的治疗。此外,患者信息的共享对这次抢救起到了很大的帮助。当地医院为我们的CT检查提供了足够的患者信息。此次抢救的难点在于患者能否顺利完成CT检查。在护理方面,我们不仅要固定病人的体位,保持病人的呼吸畅通,防止继发性损伤,还要对病人进行心理疏导和安慰,确保病人的心理健康状况良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing Experience of CT Examination in a Case of Critical Elderly Male Patients with Neck Injury: A Case Report
We present a 63-years-old male who are accidentally fell down while riding a bicycle and was inserted into his neck by a 4cm thick bamboo pole on the morning of August 30, 2019. In rescue process, patient’s mental status is bad, that the patient's state of mind is in tension, fear, anxiety and restlessness. the patient takes out stitches on September 9, 10 days rehabilitation hospital discharge. As the patient had pale complexion, slightly shortness of breath, temporarily stable vital signs, and multiple blood scabs formed throughout the body, he underwent neck CT plain scan, enhancement, 3D reconstruction, chest CT plain scan, enhancement and 3D reconstruction. After that, the patient was sent to operating room, he received suitable treatment. Furthermore, the sharing of patient information was a great help in this rescue. The local hospital provides enough patient information to our CT examine. the difficulty of this rescue lies in whether the patient can complete CT examination smoothly. In nursing aspect, we not only fixed the patient's body position and keep the patient's breathing open to prevent secondary injury but also provide psychological counseling and comfort to patients so that we ensure that the mental health of the patient is good.
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