CAJ | 학술논문

目的探讨慢阻肺患者CT引导下经皮肺穿刺活检术的围术期护理。方法回顾性分析我院因肺部结节、肿块、间质性病变行 CT引导穿刺活检术的慢阻肺病例75例，结合临床资料，总结护理要点。结果75例全部穿刺成功，穿刺成功率100%，其中，气胸12例，发生率16%，1例行穿刺抽气；穿刺野出血25例，发生率33%；本组未出现张力性气胸、咯血、空气栓塞等并发症，出现并发症患者经治疗及护理后恢复。结论慢阻肺患者CT引导下经皮肺穿刺活检术是一种安全、准确的诊断方法，术前详细设计穿刺路径、术中准确的穿刺方法、严密观察及术后护理是减少并发症的关键。
목적탐토만조폐환자CT인도하경피폐천자활검술적위술기호리。방법회고성분석아원인폐부결절、종괴、간질성병변행 CT인도천자활검술적만조폐병례75례，결합림상자료，총결호리요점。결과75례전부천자성공，천자성공솔100%，기중，기흉12례，발생솔16%，1례행천자추기；천자야출혈25례，발생솔33%；본조미출현장력성기흉、각혈、공기전새등병발증，출현병발증환자경치료급호리후회복。결론만조폐환자CT인도하경피폐천자활검술시일충안전、준학적진단방법，술전상세설계천자로경、술중준학적천자방법、엄밀관찰급술후호리시감소병발증적관건。
Objective To investigation perioperative period nursing methods of Percutaneous lung biopsy by spiral CT in COPD cases. Methods clinical data of 75 patients underwert percutaneous lung biopsy guided by spiral CT in our hospital was analyzed retrospectively and main points of care were summarized. These cases including pulmonary nodules,and interstitial lung diseases. Results al of the cases were successful y punctured,and success rate of puncture was 100%. After surgery, complication occurred in these cases,such as 12 pneumothorax, 25 haemorrhage,occurrence rate was 16%, 33%, respectively. Symptomatic treatment and nursing al patients recovered wel ,and no tension pneumothorax, hemoptysis, aeroembolism. Conclusion the percutaneous lung biopsy by spiral CT is safety and accuracy diagnostic method in COPD cases. It was necessary for detailed puncture tract designed before surgery, accurate puncture method during operation, and postoperation nursing. It was useful to reduce postoperation complications.