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机构地区:[1]广州医学院第二附属医院疼痛科 [2]中华疼痛学会第一临床中心,广东广州510260
出 处:《临床医学工程》2011年第6期935-936,共2页Clinical Medicine & Engineering
摘 要:目的探讨星状神经节置管连续阻滞术治疗多种慢性疼痛的围治疗期护理。方法选择星状神经节置管连续阻滞20例病人。术前需备好气管切开器械、氧气和急救物品,保证患者安全;术后定时检查病人和穿刺部位,一旦有敷料渗血、颈部肿胀隆起、气促或呼吸费力等局部出血或气胸先兆报告医师;注药前必须回抽无血液,注药时针眼无液体溢出;注药后出现Hon-er's综合征时给病人解释此为治疗反应以鼓励病人信心和解除顾虑,出现声音嘶哑时及时交代病人1小时内或声嘶消除前不能喝水或进食,以免误入气管。结果本组90%病人疼痛减轻,注药后80%的病人出现Honer's综合征,4%病人出现声哑,无发生严重不良反应。结论星状神经节置管阻滞术治疗效果明显,护士耐心细致做好观察及护理工作可减少严重并发症。Objective To explore the nursing during the peri-operation in the treatment of chronic pain by the continuous stellate ganglion catheter block technique. Methods 20 cases were treated with the continuous stellate ganglion catheter block technique. Preoperative tracheotomy appatatus,oxygen and first aid equipment were prepared to ensure the safety. To regularly inspect the patients and puncture places after operation. Once the dressing seeped,the neck swelled up,shortness of breath or breathing difficulties and so on,it should that report the case to the doctor. To aspirate to make sure non-blood before injection and non-spill of liquid from the needle eye during injection. When Honer's syndrome came after injection,to explain it to the patients to encourage them and free their mind of apprehensions. Don't take anything when hoarseness came in an hour or before hoarseness elimination for fear of entering trachea. Results Pain was relieved in 90% cases,Honer's syndrome turned up in 80% cases after injection,hoarseness came in 4% cases. No severe adverse effect occurred. Conclusion The continuous stellate ganglion catheter block technique is very effective. Careful observation and nursing care can decrease severe adverse reactions.
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