全肺切除术后呼吸困难原因分析及护理对策  

An analysis of the causes and nursing methods for dyspnea after pneumonectomy

作　　者：陈德凤[1] 郎红娟[1] 赵芳[1] 房雅君[1] 卢惠芳[1] 貟俊茹[1] 

机构地区：[1]第四军医大学唐都医院,陕西西安710038

出　　处：《现代肿瘤医学》2007年第1期149-150,共2页Journal of Modern Oncology

摘　　要：目的：分析全肺切除患者术后出现呼吸困难的原因，探讨有效可行的护理对策，以帮助患者在恰当的时间选择合理的活动方式，促进肺功能康复。方法：回顾性分析全肺切除术后出现呼吸困难的53例患者临床资料，其中左全肺切除32例，右全肺切除21例，男42例，女11例，年龄27～69岁。结果：全组53例除2例因术后并发急性肺水肿、左心衰而死亡，其余顺利恢复痊愈出院。结论：长期吸烟史、合并慢性呼吸循环系统疾患、术后输液不当、疼痛等为术后出现呼吸困难的主要原因；术前彻底戒烟、适当锻炼提高心肺储备功能、抗感染等积极治疗合并症、术中术后及时彻底清除呼吸道分泌物、控制输液量及速度、有效止痛、吸氧以及适时的心理干预等，均有利于改善全肺切除术后患者低效型呼吸形态。Objective： To analyze the causes of dyspnea after pneumonectomy and to find the best way of nursing strategy. Methods： The clinical data of 53 cases with dyspnea following pneumonectomy including left pneumonectomy in 32cases, right pneumonectomy in 21cases were studied retrospectively. Results： Except 2 cases died of acute pulmonary breakdown and left ventricular failure, the others recovered. Conclusion： The history of long - term smoking, chronic pulmonary or cardiovascular disease, postoperative improper transfusion, and postoperative pain are the dominant causes for the dyspnea after pneumonectomy. Reasonable nursing strategy can effectively prevent dyspnoea after pneumonectomy. Quitting smoking, exercise properly and controlling the complications effectively to improve cardio and pulmonary fanction, controlling the volume and speed of transfusion, administering acesodyne postoperatively, breaths, and psychology intervening are benefit to the low efficacy breathing after pneumonectomy.

关 键 词：全肺切除术 呼吸困难 护理对策 

分 类 号：R734.2[医药卫生—肿瘤]