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重症流感病毒性肺炎患者的临床护理与感染防控
Clinical nursing and infection prevention and control of patients with severe influenza virus pneumonia

张春艳 万娜 王淑芹 张煜 贺航咏 唐晓 李绪言 孙兵 贾燕瑞 高凤莉

【摘要】目的 总结重症流感病毒性肺炎患者的临床救治与管理经验,进一步提高ICU护士对 此类患者的临床护理及管理能力。方法 回顾性分析北京朝阳医院2017 年12 月—2018 年3 月收治的 36 例重症流感病毒性肺炎、ARDS 患者的临床护理及感染防控,总结其治疗护理经验。护理要点包括机 械通气护理、体外膜式氧合治疗护理、俯卧位通气护理、感染防控等。结果 36 例重症流感病毒性肺炎 患者死亡11 例,转出/ 出院22 例,另外3 例仍在ICU 治疗,无人员之间的交叉感染。结论 全面、整体的 呼吸支持护理及严格的感染防控是救治重症流感肺炎患者的关键。
【摘要】Objective To summarize clinical nursing and management experience of patients with severe influenza viral pneumonia, and to further improve ICU nurses' clinical nursing and management ability in patients with this disease. Methods Retrospective analysis was applied. Clinical nursing and infection prevention and control experience of 36 patients with severe influenza viral pneumonia and acute respiratory distress syndrome in Beijing Chaoyang Hospital between December 2017 and March 2018 were summarized. The main points of nursing included mechanical ventilation nursing, extracorporeal membrane oxygenation nursing, prone position ventilation nursing, infection prevention and control, etc. Results Among the 36 severe influenza viral pneumonia patients, 11 cases died; 22 cases were transferred out/discharged; and the other 3 were still in ICU treatment. The mortality rate was 30.6%, and no cross-infection occurred. Conclusions Comprehensive, overall respiratory support and strict infection prevention and control are the key to the treatment of patients with severe influenza viral pneumonia.

【关键词】流感,人; 肺炎; 护理; 呼吸窘迫综合征,成人; 呼吸,人工; 俯卧位; 体外膜 肺氧合
【关键词】Influenza,human; Pneumonia; Nursing care; Respiratory distress syndrome, adult; Respiration, artificial; Prone position; Extracorporeal membrance oxygenation