一侧全肺切除26例术后护理体会

    Nursing strategy for 26 patients after pneumonectomy

    • 摘要: 目的: 探讨一侧全肺切除术后的护理。方法: 对26例行一侧全肺切除术的患者实施术后护理干预。其中肺癌24例,肺结核1例,毁损肺1例。结果: 左全肺切除19例,右全肺切除7例,术后并发活动性出血行二次进胸止血1例,支气管胸膜瘘1例,严重心律失常4例,低氧血症6例。25例痊愈出院,1例术后低氧血症合并心律失常,放弃治疗自动出院。结论: 加强术后护理是一侧全肺切除患者术后顺利康复的重要保障。

       

      Abstract: Objective: To investigate the nursing strategy of patients after pneumonectomy.Methods: Twenty-six patients underwent pneumonectomy comprising 24 patients with pulmonary carcinoma,one patient with pulmonary tuberculosis and one with destructed pulmonary function respectively.Results: Nineteen underwent left pneumonectomy and seven right pneumonectomy.Postoperative hemorrhage occurred in one patient and reoperation was performed.Bronchopleural fistula occurred in one patient,severe arrhythmia in four patients and hypoxia in six patients.Twenty-five recovered completely.Unfortunately,one patient gave up because of arrhythmia companied by hypoxia.Conclusions: Emphasis on the care of the patient after pneumonectomy will guarantee recovery of these patients.

       

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