经处理后病人病情好转,医师考虑为其拔出引流管,以下不符合拔管条件的是( )
A. 无气体逸出
B. 24小时引流脓液15ml
C. 24小时引流液20ml
D. 24小时引流液40ml
E. 胸部X线示肺膨胀情况较好(共用题干)王先生,33岁,左胸部多根多处肋骨骨折,体格检查:极度呼吸困难,发绡,皮肤湿冷,BP68/42mmHg,气管向右侧偏移,左胸饱满,叩诊呈鼓音,左胸廓饱满,呼吸幅度降低,呼吸音消失。
查看答案
该病人最可能的诊断是( )
A. 张力性气胸
B. 闭合性气胸
C. 开放性气胸
D. 创伤性血胸
E. 血胸伴失血性休克
该病人目前最主要的护理诊断/问题是( )
A. 恐惧
B. 知识缺乏
C. 清理呼吸道无效
D. 潜在并发症:休克
E. 低效性呼吸型态
目前首要的急救处理是( )
A. 气管插管呼吸机辅助呼吸
B. 快速补液
C. 剖胸探查
D. 心理护理
E. 排气减压
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