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重症甲型H1N1流感患者俯卧位通气临床观察与护理特点 被引量：2

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摘要 目的:观察俯卧位通气治疗重症甲型H1N1流感伴有肺部并发症患者的临床效果,并探讨其监测与护理措施。方法:回顾分析9例重症甲型H1N1流感伴有肺部并发症患者采用俯卧位通气治疗的效果和护理要点。结果:俯卧位通气治疗后所有患者临床症状明显改善,SpO2、PaO2、pH等参数与初始仰卧位比较,差异有统计学意义(P<0.05)。结论:俯卧位通气治疗重症甲型H1N1流感伴有肺部并发症是一种简易有效的方法,治疗中加强监测与护理可以避免并发症的发生。
作者 宋艳 鲁桂兰 王倩
机构地区 东南大学附属第二医院ICU
出处 《现代医学》 2010年第4期440-442,共3页 Modern Medical Journal
关键词 甲型H1N1流感 俯卧位 监测 护理
分类号 R511.7 [医药卫生—内科学]
  • 相关文献

参考文献6

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共引文献10

同被引文献21

  • 1王振光,马大庆.肺小叶间隔线的基本形态和鉴别诊断[J].国外医学（临床放射学分册）,2005,28(1):25-28. 被引量：8
  • 2戢新平,王玉芝,杨丽丽,刘志.体位改变对急性肺损伤兔肺功能与CT及病理的影响[J].中华结核和呼吸杂志,2005,28(1):33-36. 被引量：6
  • 3Centers for Disease Control and Prevention(CDC). Bacterial- coinfections in lung tissue specimens from fatal cases of 2009 pandemic influenza A ( H1N1 ) - United States, May- August 2009 [ J ]. MMWR Morb Mortal Wkly Rep, 2009,58 (38) : 1071-1074.
  • 4中华人民共和国卫生部.卫生部办公厅关于印发《甲型H1N1流感诊疗方案(2009年第3版)》的通知[EB/OL]ht-tp://www.moh.gov.coJpublicfiles/business/htmlfiles/mo-hyzs/s3586/200910/43111.htm,2009,10,13.
  • 5MOLLURA D J, ASNIS D S, CRUPI R S, et al. Imaging find- ings in a fatal case of pan-demic swine-origin influenza A ( H1 N1 ) [ J ]. AJR ,2009,193 : 1500-1503.
  • 6AGARWAL P P,CINTI S,KAZEROONI E A,et al. Chest radio- graphic and CT findings in novel swine-origin influenza A ( H1 N1 ) Virus ( S- OIV) Infection [ J ]. A JR,2009,193 : 1488-1493.
  • 7PERMA D G. Noncardiogenic pulmonary edema [ J ]. Emerg Med Clin North Am,2003,21 (2) :385-393.
  • 8GA3"TINONI L. What has computed tomography taught us about the acute respiratory distress syndrome? [ J ]. Am J Respir Crit Care Med,2001,164 : 1701-1711.
  • 9郑劲松,马大庆,张岩松,韩安勤.肺蜂窝的高分辨率CT表现及其病理基础和临床意义[J].实用放射学杂志,2008,24(11):1474-1477. 被引量：4
  • 10杨智聪,李铁钢,刘于飞,吴新伟,袁俊,谢朝军,李魁彪,蒋丽云,陈艺韵,毛新武,李海麟,湛柳华,肖晓玲,刘建平,沈纪川,蔡文峰,王鸣.国内首起本地感染甲型H1N1流感疫情的流行病学分析[J].中华流行病学杂志,2009,30(7):684-686. 被引量：29

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现代医学
2010年 第4期

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