胸腔手术后再次开胸止血的原因及64例护理对策  

Causes of pleural operation after thoracotomy for hemostasis and 64 cases of nursing countermeasures

作　　者：施美满 恭维冷 

机构地区：[1]福建省晋江市医院,福建晋江362200

出　　处：《世界最新医学信息文摘》2013年第30期25-25,27,共2页World Latest Medicine Information Electronic Version

摘　　要：目的：探讨胸腔手术后再次开胸止血的原因及护理对策。方法回顾性分析了于我院心胸外科胸腔术后再次开胸止血的64例患者临床资料，探讨出血原因。结果造成出血的主要原因有结扎线脱落、胸腔内粘连分离后创面出血、肋间血管损伤出血、支气管动脉出血、支气管残端出血、肺创面出血等。结论术后积极护理，熟知术后再次出血的原因，并积极采取有效的应对措施，对降低由胸腔手术后胸腔出血引起的病死率十分关键。Objectiveto study the chest thoracotomy bleeding again after the operation the cause and the nursing countermeasures.Methods retrospective analysis on thoracic surgeons chest surgery clinical data of 64 patients of open heart stop bleeding again, the bleeding was investigated.Results the main cause of hemorrhage could shed ligature, chest cavity adhesion separation between the wound bleeding, rib after vascular injury bleeding, bronchial artery bleeding, bronchial stump hemorrhage, lung wound bleeding, etc.ConclusionPostoperative care actively, known as the cause of postoperative rebleeding, and actively take effective measures, to reduce caused by chest chest bleeding after the operation the case fatality rate is the key.

关 键 词：胸腔手术 出血 护理 

分 类 号：R473.6[医药卫生—护理学]