微创持续负压引流技术治疗肺癌胸腔积液的护理  

Nursing of minimally invasive continuous negative pressure drainage in pleural effusion of lung cancer

作　　者：陈海燕 李铮 刘瑞华 

机构地区：[1]广东省阳江市人民医院肿瘤二科,529500

出　　处：《护理实践与研究》2013年第8期49-50,共2页Nursing Practice and Research

摘　　要：目的:总结微创持续负压引流技术治疗肺癌胸腔积液的护理经验。方法:应用微创持续负压引流系统治疗肺癌胸腔积液患者59例,做好围手术期心理护理,导管管理及置管并发症监测,导管相关性感染因素评估及预见性护理。结果:带管时间6～21 d,平均(9.5±3.3)d。显效20例,有效25例,无效14例。12例患者出现堵管,经程序化处理,其中11例可继续引流,1例因形成血块堵管需拔管。结论:重视分析患者的心理需求、保持引流的通畅、置管并发症的监测、导管相关性感染的预防是提高护理质量的关键措施。Objective： To summarize the nursing experience of minimally invasive continuous negative pressure drainage technique in the treatment of pleural effusion of lung cancer. Methods：59 cases with pleural effusion of lung cancer were treated by minimally invasive continuous negative pressure drainage sys- tem, psychological nursing in the perioperative period, the monitoring on catheter management and complications of catheterization,the evaluation and predic- tive nursing for catheter related infection factors. Results： The intubation time 6 - 21 d, the average （9.5 ± 3.3 ） d. Markedly effective 20 eases, effective 25 cases,invalid in 14 cases. 12 cases of patients with plugging,the processing procedures,of which 11 cases can continue to drainage,1 case of blood dots blocking pipe for extubation. Conclusion：The key to improve quality of care measures is attach importance to the analysis of the mental needs of patients, keep the drainage unobstructed, complications of catheterization of the monitoring and catheter - related infection prevention.

关 键 词：微创持续负压引流技术 胸腔积液 护理 

分 类 号：R473.73[医药卫生—护理学]