北京市昌平区中西医结合医院 重症医学科, 北京, 102208
收稿:2025-06-23,
修回:2025-08-19,
录用:2025-08-20,
网络出版:2025-11-04,
移动端阅览
郭凤娟, 杜琳琳. 1例重症肺炎机械通气患者俯卧位治疗的护理体会[DB/OL].中西医结合临床案例库, 2025.
GUO Fengjuan, DU Linlin. Nursing Experience of Prone Positioning Therapy in a Mechanically Ventilated Patient with Severe Pneumonia[DB/OL].Clinical archives of integrative medicine, 2025.
郭凤娟, 杜琳琳. 1例重症肺炎机械通气患者俯卧位治疗的护理体会[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202506230010.
GUO Fengjuan, DU Linlin. Nursing Experience of Prone Positioning Therapy in a Mechanically Ventilated Patient with Severe Pneumonia[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202506230010.
本报告详细记录1例重症肺炎患者在接受机械通气治疗期间实施俯卧位通气的全程护理实践。通过全面评估患者病情,制定并落实针对性护理措施,应用标准化的俯卧位通气护理流程,最大程度地减少并发症的产生,使患者氧合指数(PaO
2
/FiO
2
)改善,肺部感染得到有效控制,最终顺利脱机拔管。
This report documents the comprehensive nursing practice for a patient with severe pneumonia undergoing prone positioning ventilation during mechanical ventilation. Through systematic patient assessment and implementation of targeted nursing interventions, a standardized prone positioning protocol was applied to minimize complications. The intervention resulted in significant improvement of oxygenation index (PaO₂/FiO₂), effective control of pulmonary infection, and successful extubation.
SENTER J , WAGNER K , GABRYSZEWSKI S J , et al . Severe pneumonia in a previously healthy infant [J]. Clin Pediatr , 2023 , 62 ( 12 ): 1595 - 1598 .
张慧峰 , 杨建旭 , 黄晓佩 , 等 . 重症肺炎患者体外膜肺氧合治疗预后不良的影响因素 [J]. 中华实用诊断与治疗杂志 , 2024 , 38 ( 1 ): 6 - 11 .
ZHANG H F , YANG J X , HUANG X P , et al . Influencing factors of poor prognosis of severe pneumonia patients after extracorporeal membrane oxygenation therapy [J]. J Chin Pract Diagn Ther , 2024 , 38 ( 1 ): 6 - 11 . (in Chinese)
李荷 , 李正优 , 程圆圆 . 肺保护性通气策略联合俯卧位通气对重症肺炎患者呼吸机相关性肺损伤的预防效果 [J]. 西藏医药 , 2025 , 46 ( 3 ): 78 - 80 .
LI H , LI Z Y , CHENG Y Y . The preventive effect of lung-protective ventilation strategy combined with prone position ventilation on ventilator-associated lung injury in patients with severe pneumonia [J]. Tibet Med , 2025 , 46 ( 3 ): 78 - 80 . (in Chinese)
殷文超 , 刘莅欣 . 俯卧位机械通气在重症肺炎伴急性呼吸窘迫综合征患者中的疗效分析 [J]. 中国临床医生杂志 , 2022 , 50 ( 9 ): 1054 - 1056 .
YIN W C , LIU L X . Analysis of the efficacy of prone position mechanical ventilation in patients with severe pneumonia and acute respiratory distress syndrome [J]. Chin J Clin , 2022 , 50 ( 9 ): 1054 - 1056 . (in Chinese)
陈纯纯 . 探讨不同卧位机械通气对重症肺炎呼吸衰竭患者并发呼吸机相关性肺炎的影响 [J]. 延边大学医学学报 , 2025 , 48 ( 4 ): 87 - 90 .
CHEN C C . Impact of different body positions during mechanical ventilation on ventilator-associated pneumonia in patients with severe pneumonia and respiratory failure [J]. J Med Sci Yanbian Univ , 2025 , 48 ( 4 ): 87 - 90 . (in Chinese)
邹小芬 , 陈宇冲 , 潘挺军 , 等 . 俯卧位通气联合纤维支气管镜肺泡灌洗在重症肺炎合并急性呼吸衰竭治疗中的应用 [J]. 广东医学 , 2024 , 45 ( 11 ): 1451 - 1456 .
ZOU X F , CHEN Y C , PAN T J , et al . Effectiveness of prone ventilation combined with fiberoptic bronchoscopy and alveolar lavage in treating severe pneumonia with acute respiratory failure [J]. Guangdong Med J , 2024 , 45 ( 11 ): 1451 - 1456 . (in Chinese)
吕鹏姝 . 以循证为指导的人工气道集束化护理在呼吸衰竭患者呼吸机相关性肺炎预防中的应用 [J]. 中国典型病例大全 , 2025 ( 1 ): 538 - 541 .
LV P S . The application of evidence-based guided artificial airway bundle care in the prevention of ventilator-associated pneumonia in patients with respiratory failure [J]. Chin Typ Case Database , 2025 ( 1 ): 538 - 541 . (in Chinese)
赵丹 , 谈晓梅 , 唐瑶 , 等 . 基于最佳证据的人工气道气囊护理对老年AECOPD机械通气患者VAP的预防作用研究 [J]. 老年医学与保健 , 2024 , 30 ( 5 ): 1398 - 1401 .
ZHAO D , TAN X M , TANG Y , et al . Study on preventive effects of artificial airway balloon nursing based on the best evidence on VAP in elderly AECOPD patients undergoing mechanical ventilation [J]. Geriatr Health Care , 2024 , 30 ( 5 ): 1398 - 1401 . (in Chinese)
黄亚波 , 姜芳荣 , 吕文茜 , 等 . 呼吸衰竭机械通气的肠内营养患者持续喂养和间歇喂养的对比研究 [J]. 现代实用医学 , 2025 , 37 ( 3 ): 282 - 284 .
HUANG Y B , JIANG F R , LV W Q , et al . A comparative study on continuous feeding and intermittent feeding in patients with respiratory failure undergoing mechanical ventilation and receiving enteral nutrition [J]. Mod Pract Med , 2025 , 37 ( 3 ): 282 - 284 . (in Chinese)
陈育君 , 聂岸柳 , 李剑锋 , 等 . EICU俯卧位通气操作核查表的设计及应用 [J]. 当代护士(上旬刊) , 2025 , 32 ( 1 ): 128 - 132 .
CHEN Y J , NIE A L , LI J F , et al . Design and Application of the Checklist for Prone Position Ventilation Operations in the EICU [J]. Mod Nurse , 2025 , 32 ( 1 ): 128 - 132 . (in Chinese)
丁娟 , 陈晓丽 , 肖月 , 等 . 成人机械通气患者雾化吸入护理的最佳证据总结 [J]. 中华护理杂志 , 2024 , 59 ( 12 ): 1512 - 1519 .
DING J , CHEN X L , XIAO Y , et al . Summary of the best evidence for aerosol inhalation care in adult patients undergoing mechanical ventilation [J]. Chin J Nurs , 2024 , 59 ( 12 ): 1512 - 1519 . (in Chinese)
刘飞跃 , 邓德贵 , 张馨尹 , 等 . 俯卧位通气患者安全和舒适护理方案的构建 [J]. 中华护理杂志 , 2023 , 58 ( 10 ): 1199 - 1205 .
LIU F Y , DENG D G , ZHANG X Y , et al . Construction of a safe and comfortable nursing plan for patients with prone position ventilation [J]. Chin J Nurs , 2023 , 58 ( 10 ): 1199 - 1205 . (in Chinese)
罗松平 , 刘单霞 , 韦兆吉 , 等 . 重症肺炎行有创机械通气患者ICU死亡的多因素分析及风险模型建立 [J]. 中国急救医学 , 2023 , 43 ( 4 ): 268 - 272 .
LUO S P , LIU D X , WEI Z J , et al . Multivariate analysis of death in the patients with severe pneumonia undergoing invasive mechanical ventilation and the establishment of risk model [J]. Chin J Crit Care Med , 2023 , 43 ( 4 ): 268 - 272 . (in Chinese)
何娟 , 刘颖 , 李璐 , 等 . 不同持续时间俯卧位通气对急性呼吸窘迫综合征患者疗效的影响 [J]. 中华危重病急救医学 , 2024 , 36 ( 5 ): 508 - 513 .
HE J , LIU Y , LI L , et al . The effect of different durations of prone position ventilation on the therapeutic efficacy of patients with acute respiratory distress syndrome [J]. Chin Crit Care Med , 2024 , 36 ( 5 ): 508 - 513 . (in Chinese)
郝济源 . 俯卧位通气治疗重症肺炎的临床观察 [J]. 内蒙古中医药 , 2024 , 43 ( 9 ): 117 - 118 .
HAO J Y . Clinical Observation on the Treatment of Severe Pneumonia with Prone Position Ventilation [J]. Inn Mong J Tradit Chin Med , 2024 , 43 ( 9 ): 117 - 118 . (in Chinese)
张冰美 , 黄守芳 . 全程护理干预在精神分裂症患者中的应用效果分析 [J]. 当代医药论丛 , 2025 , 23 ( 17 ): 150 - 152, 156 .
ZHANG B M , HUANG S F . Analysis of the Application Effect of Whole-process Nursing Intervention in Patients with Schizophrenia [J]. Contemp Med Symp , 2025 , 23 ( 17 ): 150 - 152, 156 . (in Chinese)
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621
