Nursing practice of critical patients with COVID-19 pneumonia in neurosurgerybased on B class B management
基于乙类乙管下神经外科危急重症患者合并新冠病毒肺炎的护理实践

摘要

在抵抗新型冠状病毒肺炎、捍卫健康的征程上，医务人员以“大白”形象深入人心，如今“大白”已成为过去式，新型冠状病毒肺炎防控由初始的“乙类甲管”到如今的“乙类乙管”[1]，并不意味着防控工作的结束，临床工作仍面临着巨大的挑战。神经外科重症监护病房集中收治急危重症患者，因疾病特点，尤其是伴有意识障碍、长期卧床的患者，其多数并发肺部感染，加之年龄等其他因素，机体免疫力较差，在新型冠状病毒肺炎全面爆发的当下，极易合并感染[2]，近期神经外科收治的重症患者多数合并感染奥密克戎（Omicron）新冠病毒肺炎，因此，如何加强对这类患者的程序化、规范化护理工作，成为科室亟待解决的问题，在遵循国家防控政策的前提下，护理工作统筹安排，取得阶段性成效。

Abstract

On the journey of fighting against novel coronavirus pneumonia and defending health, medical personnel have been deeply rooted in the hearts of the people with the image of "big white". Now, "big white" has become a thing of the past. The prevention and control of novel coronavirus pneumonia from the initial "a Class B infectious disease but subject to the preventive and control measures for a Class A infectious disease" to "a Class B infectious disease but subject to the preventive and control measures for a Class B infectious disease" currently [1] does not mean the end of the prevention and control work, and clinical work is still facing huge challenges. The intensive care unit of neurosurgery is used to treat acute and critical patients. Due to the characteristics of the disease, especially the patients with consciousness disorders and long-term bed rest, most of them are complicated with lung infection. In addition to age and other factors, the body immunity is poor. At the moment of the full outbreak of novel coronavirus pneumonia, it is very easy to be infected [2]. Most of the critical patients admitted by neurosurgery recently are infected with Omicron COVID-19 pneumonia. Therefore, how to strengthen the procedural and standardized nursing work for such patients has become an urgent problem to be solved by the department. Under the premise of following the national prevention and control policy, the nursing work has been arranged as a whole and achieved phased results.