内科胸腔镜联合高频电治疗难治性自发性气胸的护理  

Nuring care for Paitients with spontaneous pneumothorax treated with high frequency electric

作　　者：田莲华[1] 吴金枝[1] 历银平[1] 

机构地区：[1]孝感市中心医院,孝感432000

出　　处：《中国医疗前沿》2009年第17期94-95,共2页China Healthcare Innovation

摘　　要：目的探讨内科胸腔镜联合高频电治疗自发性气胸的护理配合。方法运用内科胸腔镜术联合高频电治疗20例自发性气胸的患者,采取高频电凝术凝固肺大疱及高频电切术离断胸膜粘连带。术前做好心理护理及术前准备;术中积极配合及护理;术后监测生命体征,保持引流管通畅,做好并发症的预防、观察及护理。结果全组20例病人治疗后24～72小时肺全部复张,肺功能明显改善,随诊一年,术侧无复发,疗效满意。结论术前熟悉器械设备性能,认真做好患者心理护理和术前准备;术中医护默契配合,术后密切观察,是顺利完成内科胸腔镜联合高频电治疗自发性气胸的必要保证。Objectives To explore the nuring care for paitients with spontaneous pneumothorax treated with high frequency electric and summarize its curative experience. Methods Following curative means were deployed：Bullaes were coagulated by high frequency electrocoaguiation, Pleural adhesions were mutilated by high frequency electrocision. Nursing cares were followed by preoperative psychological care,active cooperation in the operation and postoperative monitoring of vital signs. Results 20 patients were treated by above-mentioned methods.Their postoperative lungs were all stretched open after 24-72 hours. Their pulmonary function were improved obviously. There was no recurrent after one year follow-up. Conclusion It is vital to be familiar with the equipment performance before the operation, prepare fullly psychological care,cooperate actively in the operation and monitor postoperative vital signs. The nursing care is a essential warranty for paitients with spontaneous pneumothorax treated with high frequency electric.

关 键 词：自发性气胸 内科胸腔镜 高频电 护理 

分 类 号：R473.6[医药卫生—护理学]