院前首次应用高流量呼吸湿化仪转运肺纤维化患者1例

One Patient with Pulmonary Fibrosis Was Transferred for the First Time before Hospitalization Using a High-Flow Respiratory Humidifier

摘要: 目的：总结一例院前首次转运肺纤维化病人高流量吸氧病人的护理体会，这次转运的经验使我们再次转运此类型的患者能够保证患者生命安全平稳的前提下更加高效、快速。方法：包括转运小组在接到命令单时转运物品、药品的准备；转运前对转运流程、病人的交接、畅通的绿色通道、氧气的使用、可预见性的安全隐患问题的准备；转运途中对病人、HFNC的护理以及到达医院以后的交接等。结果：长途转运途中病人的安全、无意外发生；结论：肺纤维化病人对氧气依赖极高，院前转运除了确保高流量呼吸治疗仪的性能完好，还需要准备充足的氧气，院前与院内流程衔接紧密才能为病人更好的服务。

Abstract: Objective: To summarize the nursing experience of the first pre-hospital transfer of a patient with pulmonary fibrosis receiving high-flow oxygen therapy, and to improve the efficiency and speed of subsequent transfers of similar patients. Method: This includes the preparation of items and medicines for transfer by the transfer team upon receiving the order. Pre-transfer preparations include finalizing the transfer protocol, conducting patient handover, ensuring an unobstructed green channel, arranging oxygen supply, and assessing predictable safety hazards. During transit, care focuses on the patient and the High-Flow Nasal Cannula (HFNC) device, followed by a formal handover upon arrival at the hospital. Result: The patient was safe and no accidents occurred during the long-distance transfer. Conclusion: Patients with pulmonary fibrosis have an extremely high dependence on oxygen. In addition to ensuring the proper functioning of high-flow respiratory therapy devices during pre-hospital transportation, it is also necessary to prepare sufficient oxygen. Close coordination between pre-hospital and in-hospital procedures is essential to provide better services for patients.