摘要
目的探讨和分析自发性气胸患者胸腔闭式引流术以后防止逆行感染的护理措施和效果。方法对于2014年3月—2014年9月期间该院收治的70例患者,在手术前,加强心理护理、饮食护理,术后密切观察患者的生命体征,加强心电监护,指导患者呼吸护理,同时重视并发症的观察及护理,出院指导与健康教育,然后总结患者的护理效果。结果该组70例患者均一次性穿刺取得成功,68例(97.14%)患者经过积极地治疗与系统化地有效护理以后痊愈,2例(2.86%)患者由于肺部难以实现复张转入外科进行手术治疗。全部患者均未出现纵隔气肿、皮下气肿、复张性肺水肿以及胸腔逆行感染等各种并发症。结论采用胸腔闭式引流术是治疗自发性气胸最为有效的方法之一,医护人员进行严密的观察患者的生命体征与进行精心有效的护理,也是胸腔闭式引流术顺利进行并且取得非常满意的疗效的保证,又是患者早日获得康复的关键因素。
Objective To investigate and analysis of spontaneous pneumothorax in patients with closed thoracic drainage in the fu-ture to prevent nursing measures and effect of retrograde infection. Methods 70 cases during the period from 2014 March to 2014 September in our hospital patients, before the operation, strengthen the psychological nursing, diet nursing, postoperative close ob-servation of the patient′s vital signs, ECG monitoring, guiding patients with respiratory care and attention, observation and nursing of complications, guidance and health education of discharged, and then summarize the nursing effect of patients the. Results Of the 70 patients all disposable puncture success, 68 cases （97.14%） of patients after active treatment and systematic effective nurs-ing after cured, 2 cases （2.86%） patients with lung is difficult to realize the complex Zhang transferred to surgical operation treat-ment. Mediastinal emphysema, subcutaneous emphysema, reexpansion pulmonary edema and pleural retrograde infections and oth-er complications were not found in all the patients. Conclusion Using closed thoracic drainage in the treatment of spontaneous pneumothorax is one of the most effective methods, the medical personnel to close observation patient vital signs and careful nurs-ing is effective, closed thoracic drainage to ensure smoothly and achieved a satisfactory curative effect, and is one of the key fac-tors in patients with early rehabilitation.
出处
《中外医疗》
2015年第4期82-84,共3页
China & Foreign Medical Treatment
关键词
胸腔闭式引流术
自发性气胸
感染预防护理
Closed thoracic drainage
Spontaneous pneumothorax
Infection prevention and nursing
