经胸腔镜食管癌切除术后并发胸腔内出血的观察与护理  

Clinical monitoring and nursing for patients of intrathoracic hemorrhage undergoing thoracoscope-assisted resection of esophageal carcinoma

作　　者：胡彦杰[1] 刘鸿芹[1] 

机构地区：[1]浙江省肿瘤医院重症监护室,浙江杭州310022

出　　处：《健康研究》2013年第3期219-221,共3页Health Research

摘　　要：文章总结13例胸腔镜辅助食管癌切除术患者术后并发胸腔内出血的观察与护理。认为经胸腔镜食管癌切除术具备传统开胸手术无法比拟的的优点,但一旦并发术后胸腔出血常较为严重;术后护理中应密切观察生命体征和尿量的变化,评估胸腔引流液情况,计算休克指数,及时抽血送检血气分析、血常规,必要时行床边X线胸片检查,尽早发现胸腔内出血,以提高胸腔内出血抢救的成功率。This paper is a summary of our work of monitoring and nursing 13 cases of intrathoracic hemorrhage after thoracoscope-assisted resection of esophageal carcinoma. Our work suggested to us that esophageal carcinoma resection assisted with thoracoscope has advantage over traditional thoracic surgery, but may cause more serious intrathoracic hemorrhage, Therefore, close monitoring on vital signs and urine output changes, critical assessment on pleura/ fluid drainage, accurate calculation of shock index, and timely examination of blood gas analysis with routine blood test, and necessary X bedside chest should be carried out to determine possible incidence of intrathoracic hemorrhage as early as possible, so as to increase successful rate of rescue from intrathoracic hemorrhage.

关 键 词：胸腔镜 食管癌切除术 胸腔内出血 观察护理 

分 类 号：R655.4[医药卫生—外科学]