创伤性延迟性血气胸的观察及护理  

Delayed Traumatic Hemopneumothorax Observation and Nursing

作　　者：谢娥[1] 

机构地区：[1]四川省自贡市第一人民医院,四川自贡643000

出　　处：《中国现代医生》2010年第20期68-69,79,共3页China Modern Doctor

摘　　要：目的介绍24例延迟性血气胸的临床观察和护理体会。方法对24例创伤性延迟性血气胸的资料回顾性分析。结果 24例患者中6例采用保守治疗,5例行胸穿抽气,13例行胸腔闭式引流。24例均治愈,无死亡病例,随访1个月无再发。结论延迟性血气胸的发作时间不确定,如观察护理不仔细,往往会延误诊断和治疗,给患者造成严重不良的后果。在护理过程中要重视患者的主诉,严密观察患者的生命体征及胸部病情变化、伤后3周内反复多次定期进行X线及B超检查,有利于延迟性血气胸的及早发现,从而提高救治成功率。Objective To introduce the 24 cases of delayed traumatic hemopneumothorax clinical observation and nursing care. Methods 24 cases of delayed traumatic hemopneumothorax retrospective analysis. Results 24 patients,six cases of conservative treatment,5 received thoracentesis exhaust, 13 patients with closed thoracic drainage. 24 cases were cured ,followed up for 1 month without recurrence. Conclusion The onset time is uncertainty in delayed traumatic hemopneumothorax, if not carefully observe and care and often delay diagnosis and treatment, to patients with serious adverse consequences. In the nursing process, the importance of the chief complaints of patients and close observation of vital signs of patients and chest condition changes,within 3 weeks after injury, repeated many times on a regular B ultrasound and X-ray examination, conducive to delayed traumatic hemopneumothorax in the early detection,to improve treatment success rate.

关 键 词：胸部损伤 延迟性血气胸 观察 护理 

分 类 号：R473[医药卫生—护理学] R651[医药卫生—临床医学]