重度脑外伤患者通过阶段性评估计划性拔除导管1例报道

doi:10.3969/j.issn.1006-9771.2021.07.021

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (7): 864-868.doi: 10.3969/j.issn.1006-9771.2021.07.021

• 康复护理 • 上一篇

重度脑外伤患者通过阶段性评估计划性拔除导管1例报道

陈萍,印正,何志杰,贾晋瑄,贾杰,吴毅,蒋红()

复旦大学附属华山医院康复医学科,上海市 200040

收稿日期:2020-01-10 修回日期:2021-06-30 出版日期:2021-07-25 发布日期:2021-07-28
通讯作者: 蒋红 E-mail:hlbjiang@126.com
作者简介:陈萍(1971-),女,汉族,上海市人,主管护师,主要研究方向：康复护理。|蒋红,女,主任护师,硕士研究生导师,主要研究方向：临床护理和护理管理。
基金资助:
1.上海市科学技术委员会项目(17411953900);2.上海市临床重点专科项目(shslczdzk02702)

Catheter Removal Planning Based on Phased Evaluation for Severe Traumatic Brain Injury: A Case Report

CHEN Ping,YIN Zheng,HE Zhi-jie,CHIA Chin-hsuan,JIA Jie,WU Yi,JIANG Hong()

Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China

Received:2020-01-10 Revised:2021-06-30 Published:2021-07-25 Online:2021-07-28
Contact: JIANG Hong E-mail:hlbjiang@126.com
Supported by:
Shanghai Science and Technology Committee Project(17411953900);Shanghai Municipal Key Clinical Specialty(shslczdzk02702)

摘要/Abstract

摘要：

目的对重度脑外伤患者实施阶段性护理评估,促进患者计划性拔除导管。

方法回顾本院2018年10月接诊的1例重度脑外伤患者。

结果通过对意识、气管套管拔管条件、膀胱安全容量和残余尿量等进行阶段性护理评估,给予针对性康复护理。治疗和护理54 d后,拔除所有置管。

结论对重度脑外伤患者进行阶段性护理评估,可加强拔管的计划性,避免重复置管,促进患者康复。

关键词: 重度脑外伤, 计划性拔管, 阶段性护理评估, 延续性护理

Abstract:

Objective To introduce a phased evaluation for severe traumatic brain injury in clinical nursing, to promote catheter removal planning.

Methods A case of severe traumatic brain injury in our hospital in October, 2018 was reviewed.

Results This case accepted a phased evaluation about consciousness, condition of tracheotomy and extubation, bladder safety capacity and residual urine volume, and the rehabilitation nursing targeted to the results. After 54 days of treatment and care, all the catheters were removed in a planned way.

Conclusion The phased evaluation for severe traumatic brain injury may promote the planning of catheter removal, prevent repeated tube placement, and facilitate the recovery of patients.

Key words: severe traumatic brain injury, planned extubation, phased nursing evaluation, continuous care

中图分类号:

R651.1

陈萍,印正,何志杰,贾晋瑄,贾杰,吴毅,蒋红. 重度脑外伤患者通过阶段性评估计划性拔除导管1例报道[J]. 《中国康复理论与实践》, 2021, 27(7): 864-868.

CHEN Ping,YIN Zheng,HE Zhi-jie,CHIA Chin-hsuan,JIA Jie,WU Yi,JIANG Hong. Catheter Removal Planning Based on Phased Evaluation for Severe Traumatic Brain Injury: A Case Report[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 864-868.

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重度脑外伤患者通过阶段性评估计划性拔除导管1例报道

Catheter Removal Planning Based on Phased Evaluation for Severe Traumatic Brain Injury: A Case Report

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