自发性气胸胸腔镜手术中使用膨肺机的护理配合  

Nursing cooperation in using lung inflation system for video-assisted thoracoscopic surgery for spontaneous pneumothorax

作　　者：李季鸥 钮敏红[1] 龚喜雪[1] 龚立宏[1] 

机构地区：[1]深圳市第二人民医院,广东深圳518035

出　　处：《现代临床护理》2016年第5期19-21,共3页Modern Clinical Nursing

基　　金：深圳市科技创新委基金项目;项目编号为JCYJ20130401114745072

摘　　要：目的总结自发性气胸胸腔镜手术中术者使用膨肺机的护理配合要点。方法对42例接受自发性气胸胸腔镜手术患者术中术者使用膨肺机的护理配合要点进行总结。结果所有患者均顺利完成手术。其中1例患者术中膨肺发现左下肺不张,麻醉医师调整气管导管位置后,再次膨肺肺不张解除。术后1 d胸腔闭式引流漏气2例,其中1例为弥漫性肺大疱,第2天停止漏气;另1例为术中引流管插入过深,退出3 cm后2 d停止漏气。所有患者随访6~30个月,未见术侧气胸复发。结论自发性气胸胸腔镜手术中术者使用膨肺机安全可行,手术室护理人员术前准备好设备,熟练配合完成各个步骤是保证手术成功的关键。Objective To explore the nursing cooperation in use of lung inflation system for video-assisted thoracoscopic surgery （VATS） for spontaneous pneumothorax. Method The key nursing points in nursing 42 patients with spontaneous pneumothorax undergoing VATS were analyzed. Results The operations were all successful. One patient contracted lower left atelectasis but it was cured after the tracheal tube was re-adjusted. On day one, there were two cases of gas leakage during thoracic closed drainage：one was of diffuse pulmonary bulla, and the gas leakage stopped on the second day; In the other cases, the gas leakage stopped 2 days after the tube was withdrawn by 3cm probably because the drainage tube was inserted too deep at the beginning. 6-30 months follow-ups showed no recurrence of pneumothorax in the operated site. Conclusions The lung inflation system is safe during VATS for spontaneous pneumothorax. Careful preoperative preparation of the equipment and skillful nursing cooperation at all procedures are critical for the success of VATS.

关 键 词：自发性气胸 术者 膨肺机 护理配合 

分 类 号：R472.3[医药卫生—护理学]