经内科胸腔镜介入治疗肺大疱并发自发性气胸的护理  

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

作　　者：田莲华[1] 厉银平[1] 童良娥[1] 

机构地区：[1]孝感市中心医院呼吸内科,孝感432000

出　　处：《中国医疗前沿》2009年第19期88-88,90,共2页China Healthcare Innovation

摘　　要：目的探讨经内科胸腔镜介入治疗肺大疱并发自发性气胸的护理。方法运用内科胸腔镜介入治疗,采用以下综合治疗方法:高频电凝术凝固肺大疱;高频电切术离断胸膜粘连带;注射生物胶术;滑石粉喷洒术固定胸膜腔。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30例病人治疗后24～72h肺全部复张,肺功能明显改善,随诊6月～1年,术后无复发,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介入治疗肺大疱并发自发性气胸的必要保证。Objectives To explore the nuring care for paitients with spontaneous pneumothorax complicated bullous pulmonary treated with medical-assisted thoracoscopic interventional treatment and summarize its curative experience. Methods Following curative means were deployed：Bullaes were coagulated by high frequency electrocoagulation; Pleural adhesions were mutilated by high frequency electrocision. Injection of biological plastic surgery. Talcum powder spraying operation fixed pleural. Nursing cares were followed by preoperative psychological care , active cooperation in the operation and postoperative monitoring of vital signs. Results Thirty 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 6 months to one year follow-up and curative effect is satisfactory. Conclusion It is vital to be familiar with the equipment performance before the operation, prepare fulily 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：肺大疱 气胸 内科胸腔镜 生物胶 高频电 护理 

分 类 号：R473.5[医药卫生—护理学]