摘要
目的总结巨大纵隔肿瘤患者的围手术期护理体会，探讨巨大纵隔肿瘤围手术期护理特点。方法术前对42例巨大纵隔肿瘤患者进行充分的心理护理，术后配合医生对可能出现的严重并发症（如上腔静脉切除人造血管置换术后的肺栓塞和复张性肺水肿等）及时发现和处理。同时积极开展术后康复教育等围术期护理。结果术后出现并发症15例，其中上腔静脉切除人造血管置换术后的肺动脉栓塞1例、严重心律失常6例、复张性肺水肿4例、乳糜胸2例、呼吸衰竭2例。经合理对症治疗后，均痊愈。结论巨大纵隔肿瘤病灶体积大，累及脏器多，术后并发症发生几率高。实施医护紧密合作的围手术期护理，可尽早发现严重并发症并及时治疗，对巨大纵隔肿瘤患者的康复具有重大意义。
Objective To summarize the perioperative nursing skills for patients with giant mediastinal tumor. Methods A total of 42 patients with giant mediastinal tumor were included into the current study. They were given psy- chological nursing before operation and possible serious complications, such as pulmonary embolism and re - expansion pulmonary edema after artificial blood vessel replacement were treated. Meanwhile, systematic perioperative nursing care was performed on all patients. Results Postoperative complications were reported in 15 patients, including 1 pulmonary embolism case, 6 serious arrhythmia cases, 4 re - expansion pulmonary edema cases, 2 chylothorax cases and 2 respira- tion failure cases, which were cured after symptomatic treatments. Conclusions Giant mediastinal tumor has large vol- ume, affects multiple organs and causes a higher incidence of complications. Implementing perioperative nursing under the close cooperation between nurses and physicians can observe possible serious complications and provided treatments as early as possible, which is significant for the recovery of patients with giant mediastinal tumor.
出处
《徐州医学院学报》
CAS
2016年第12期852-854,共3页
Acta Academiae Medicinae Xuzhou
基金
江苏省肿瘤医院基金（No.Zh2014）
关键词
巨大纵隔肿瘤
手术
围手术期护理
giant mediastinal tumor
surgery
perioperative nursing
