前言目的为了探讨肺泡蛋白沉着症(PAP)患者经纤维支气管镜行支气管肺泡灌洗术(BAL)的护理经验。方法我们对3例PAP患者行BAL的护理过程进行了回顾和分析。结果术前做好心理疏导,缓解患者紧张恐惧的心理;术中严密观察患者心率、血压、SaO2变化,及时采取有效措施预防和处理并发症的发生;术后及时纠正低氧血症,保持呼吸道通畅,预防和控制肺部感染,注意水、电解质及酸碱平衡是PAP患者行BAL的关键性护理措施。结论恰当的护理是患者迅速康复的保证。
ObjectiveToprobethenursingexprienceofbronchoalvoalarlavage(PAP)inpulmo-naryalveolarproteinosis(PAP)patients.MethodsThenursingcoursesofBALin30casesofPAPpa-tientswereanalyzedretrospectively.ResultsDoingmentalitydredgingbeforeoperation;observingheartrate,bloodpressureandchangingofSaO2duringoperation;correctinghypoxemia,keepingrespir-atorytractclear,waterelectrolytebalanceandacid-basebalance,preventingandcontrollinglunginfec-tionafteroperation.A...