文献类型：期刊文献

中文题名：简陋医疗环境中15例胸部枪击伤患者的围手术期护理

英文题名：Perioperative Nursing Care for 15 Patients with Chest Gunshot Wounds in a Resource-limited Medical Setting

作者：梁娟娟[1];赵雪娟[1];呼延琳[2];省晓琴[3];张正华[4];贺逢孝[2]

第一作者：梁娟娟

机构：[1]甘肃中医药大学附属医院感染性疾病科,甘肃兰州730000;[2]兰州大学第二医院心脏外科,甘肃兰州730030;[3]兰州市肺科医院手术麻醉科,甘肃兰州730030;[4]嘉峪关市第一人民医院脊柱外科,甘肃嘉峪关735100

第一机构：甘肃中医药大学第二附属医院

年份：2025

卷号：42

期号：11

起止页码：26

中文期刊名：军事护理

外文期刊名：MILITARY NURSING

收录：;北大核心:【北大核心2023】；

语种：中文

中文关键词：枪击;围手术期;护理;心脏破裂;康复;疟疾;病例报告

外文关键词：gunshot;perioperative;nursing;heart rupture;rehabilitation;malaria;case report

摘要：总结了在非洲简陋医疗环境中接诊的15例胸部枪击伤患者急诊手术配合及围手术期护理经验,旨在为胸部创伤患者的救治和护理提供借鉴。护理要点包括全面且细致的伤情评估、开通双静脉通道、确保充足氧供、角色转换协助心肺复苏及手术、制作胸腔引流装置、强化术后体位与疼痛管理以预防胸部感染、重视术后营养支持和康复训练以促进呼吸功能恢复。经过精心护理,14例患者顺利康复出院,1例患者因术后腹腔出血不幸死亡。
Treatment experience in emergency surgery cooperation and perioperative nursing for 15 patients with chest gunshot wounds treated in a resource-limited medical environment in Africa were summarized,aiming to provide references for the treatment and care of chest trauma.The key nursing focuses included comprehensive and careful injury assessment,establishing dual intravenous access,ensuring adequate oxygen supply,adapting roles to assist with cardiopulmonary resuscitation and surgery,creating thoracic drainage devices,enhancing postoperative positioning and pain management to prevent chest infections,and emphasizing postoperative nutritional support and rehabilitation training to promote respiratory function recovery.Among the patients,14 recovered well and were discharged after meticulous care,while 1 died due to postoperative abdominal hemorrhage.