1例肺巨大肿瘤老年偏瘫患者术后肺复张的护理  

Nursing care of postoperative lung re-expansion in an elderly hemiplegic patient with a massive pulmonary tumor

作　　者：黄彬彬[1] 王辉[1] HUANG Binbin;WANG Hui

机构地区：[1]浙江大学医学院附属第一医院普胸外科,杭州市310003

出　　处：《中华护理杂志》2024年第1期29-33,共5页Chinese Journal of Nursing

摘　　要：总结1例肺巨大肿瘤老年偏瘫患者术后肺复张的护理经验。护理要点如下:微正压高流量通气治疗,促进肺泡早期复张;引导式呼吸训练,维持肺泡复张;实施综合性气道廓清技术,提高排痰能力;采取阶梯式营养护理,降低并发症,使患者安全过渡至经口进食;制订出院准备服务计划,确保延续性照护。经过多学科团队协作和术后的精心护理,患者恢复良好,20 d出院。To summarize the nursing experience of postoperative lung re-expansion in an elderly hemiplegic patient with a massive pulmonary tumor.The nursing interventions included the utilization of high-flow therapy with positive pressure ventilation to facilitate early alveolar re-expansion.Guided breathing exercises were implemented to enhance respiratory muscle strength and maintain alveolar expansion.Furthermore,a comprehensive approach to airway clearance techniques was employed to improve the patient’s ability to expectorate sputum effectively.A stepwise nutritional care plan was implemented to reduce complications and ensure a safe transition to oral feeding.Additionally,a discharge preparation service plan was executed to ensure the provision of continuous care after hospital discharge.Through the collaborative efforts of a multidisciplinary team and diligent postoperative nursing care,the patient exhibited a favorable recovery and was discharged after a 20-day hospitalization period.

关 键 词：巨大肿瘤 老年 偏瘫 肺不张 康复护理 

分 类 号：R473.73[医药卫生—护理学]