肺气肿合并气胸行胸腔镜肺减容术围手术期呼吸道的护理  

Perioperative Respiratory Nursing After Video-assisted Thoracoscopic Lung Volume Reduction for Emphysema Complicating Pneumothorax

作　　者：黄金穗[1,2] 吴卫春[1,2] 孔海红 

机构地区：[1]杭州师范大学医学院附属余杭医院外一科 [2]浙江大学医学院附属第二医院余杭分院外一科,杭州311100

出　　处：《中国微创外科杂志》2015年第5期478-480,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：本文报道2007年5月~2014年6月31例肺气肿合并气胸患者围手术期呼吸道的护理,27例顺利完成胸腔镜肺减容手术,4例由于胸膜腔严重粘连中转开胸手术,无严重呼吸道并发症发生。我们认为护理的要点为术前积极的心理护理、呼吸道准备和训练以及适当的体能训练,术中积极防止误吸等情况发生,术后有效镇痛,有效管理胸腔闭式引流。[Summary] The paper reported perioperative respiratory nursing experience of 31 patients with emphysema complicating pneumothorax treated with lung volume reduction surgery under video-assisted thoracoscopy .The thoracoscopic surgery was completed in 27 patients and conventional thoracotomy were required in 4 patients because of severe pleural cavity adhesions .No severe respiratory complications occurred in all the patients .We deemed that positive preoperative mental nursing , respiratory preparation and exercises, proper physical training , intraoperative prevention of hazardous inhalation , postoperative effective analgesia , and careful management of closed thoracic drainage are key points of perioperative nursing .

关 键 词：肺气肿 气胸 胸腔镜手术 肺减容术 呼吸道护理 

分 类 号：R473.6[医药卫生—护理学]