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肺癌单侧全肺切除手术的围术期护理 被引量:2

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摘要 目的:探讨肺癌单侧全肺切除手术围术期护理措施。方法:回顾性分析全肺切除术68例患者的临床资料,总结手术护理经验。结果:经过手术前心理护理、积极术前准备、术前评估、手术中与麻醉医师和外科医师配合、单肺通气和低氧血症的防治、术后注意补液、加强病情观察、做好呼吸困难及胸腔闭式引流管的护理、并发症的防治等综合性护理措施,所有患者麻醉手术顺利完成。1例术后第6天出现支气管胸膜瘘,于术后第10天死亡,其余67例均治愈出院,经随访1年都能达到日常的生活自理。结论:围术期护理对保证肺癌单侧全肺切除手术的成功起重要作用,可减少并发症,提高患者生存质量。
作者 李秀侠 李泳
出处 《黑龙江医药》 CAS 2010年第3期478-481,共4页 Heilongjiang Medicine journal
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  • 1周汝元,于在诚,葛圣林,梅运靖,朱志宏.胸外科非心脏手术后心血管并发症32例分析[J].中华胸心血管外科杂志,1995,11(4):209-210. 被引量:61
  • 2曾玲.全肺切除术后心律失常的护理[J].广西医学,2006,28(2):293-294. 被引量:6
  • 3[2]Randell T,Seppala T,Lindgren L.I soflurane in nitrous oxide and oxygen increases plasma concentrations of noradrenaline but attenuates the pressor response to intubation.Acta Ana esthesiol Scand,1991,35(7):600~605
  • 4[3] Amado Ja,Diago MC.Delayed ACTH r esponse to human corticotropin relea sing hormone during cardiopulmonary bypass under diazepam-high dose fent anyl.Anaesthesia,1994,49(4):303~303
  • 5Moutafis M, Liu N, Dalibon N, et al . The effects of inhaled nitric oxide and its combination with intravenous almitrine on PaO2 during one-lung ventilation in patients undergoing thoracoscopic procedrues. Anesth Analg, 1997, 85(5):1130-1135.
  • 6Russell WJ, James MF. The effects on increasing cardiac output with adrenaline or isoprenaline on arterial haemoglobin oxygen saturation and shunt during one-lung ventilation. Anaesth Intensive Care, 2000, 28(6):636-641.
  • 7Freden F, Berglund JE, Reber A,et al . Inhalation of a nitric oxide synthase inhibitor to ahypoxic or collapsed lung lobe in anaesthetized pigs: effects on pulmonary blood flow distribution. BrJ Anaesth, 1996, 77(3):413-418.
  • 8Chen TL, Lee YT, Wang MJ, et al . Endothelin-1 concentrations and optimisation of arterial oxygenation and venous admixture by selective pulmonary artery infusion of prostaglandin E1 during thoracotomy. Anaesthesia,1996 , 51(5):422-426.
  • 9Fujiwara M, Abe K, Mashimo T. The effect of positive end-expiratory pressure and continuous positive airway pressure on the oxygenation and shunt fraction during one-lung ventilation with propofol anesthesia. J Clin Anesth,2001, 13(7) :473-477.
  • 10Garutti I, Quintana B, Olmedilla L, et al. Arterial oxygenation during onelung ventilation: combined versus general anesthesia. Anesth Analg, 1999,88(3) :494-499.

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