现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2013年
9期
46-48
,共3页
支气管镜%肺泡灌洗%肺吹气%肺不张%围术期护理
支氣管鏡%肺泡灌洗%肺吹氣%肺不張%圍術期護理
지기관경%폐포관세%폐취기%폐불장%위술기호리
bronchoscopy%bronchoalveolar lavage%pulmonary insufflation%pulmonary atelectasis%perioperative nursing
目的：观察12例支气管肺泡灌洗联合肺吹气治疗开胸术后肺不张患者的治疗效果和总结护理要点。方法完善术前准备，做好充分麻醉、心理疏导；术中加强监测，密切配合医生对患者进行支气管肺泡灌洗及肺吹气；加强术后护理。结果12例患者经治疗后均肺复张。与治疗前相比，治疗6 h后的动脉血氧饱和度（arterial oxygen saturation，SaO2）和动脉血氧分压（arterial oxygen partial pressure，PaO2）均显著升高，二氧化碳分压（Co2 partial pressure，PaCO2）显著降低，治疗前后比较，差异具有统计学意义（均P＜0.05）。治疗中无严重并发症发生，肺不张无复发，患者均顺利出院。结论支气管肺泡灌洗联合肺吹气治疗开胸术后肺不张的效果明显，做好围术期护理对保证支气管肺泡灌洗联合肺吹气治疗顺利完成具有重要作用。
目的：觀察12例支氣管肺泡灌洗聯閤肺吹氣治療開胸術後肺不張患者的治療效果和總結護理要點。方法完善術前準備，做好充分痳醉、心理疏導；術中加彊鑑測，密切配閤醫生對患者進行支氣管肺泡灌洗及肺吹氣；加彊術後護理。結果12例患者經治療後均肺複張。與治療前相比，治療6 h後的動脈血氧飽和度（arterial oxygen saturation，SaO2）和動脈血氧分壓（arterial oxygen partial pressure，PaO2）均顯著升高，二氧化碳分壓（Co2 partial pressure，PaCO2）顯著降低，治療前後比較，差異具有統計學意義（均P＜0.05）。治療中無嚴重併髮癥髮生，肺不張無複髮，患者均順利齣院。結論支氣管肺泡灌洗聯閤肺吹氣治療開胸術後肺不張的效果明顯，做好圍術期護理對保證支氣管肺泡灌洗聯閤肺吹氣治療順利完成具有重要作用。
목적：관찰12례지기관폐포관세연합폐취기치료개흉술후폐불장환자적치료효과화총결호리요점。방법완선술전준비，주호충분마취、심리소도；술중가강감측，밀절배합의생대환자진행지기관폐포관세급폐취기；가강술후호리。결과12례환자경치료후균폐복장。여치료전상비，치료6 h후적동맥혈양포화도（arterial oxygen saturation，SaO2）화동맥혈양분압（arterial oxygen partial pressure，PaO2）균현저승고，이양화탄분압（Co2 partial pressure，PaCO2）현저강저，치료전후비교，차이구유통계학의의（균P＜0.05）。치료중무엄중병발증발생，폐불장무복발，환자균순리출원。결론지기관폐포관세연합폐취기치료개흉술후폐불장적효과명현，주호위술기호리대보증지기관폐포관세연합폐취기치료순리완성구유중요작용。
Objective To summarize the perioperative nursing of patients with post-thoracotomy atelectasis treated with bronchoalveolar lavage combined with pulmonary insufflation.Methods Before operation,the nursing measures included the full preoperative preparation,full anesthesia and mental care.During the operation,the nursing focused on intensified monitoring,close cooperation with doctors in manipulation of bronchoalveolar lavage and pulmonary insufflation.After operation,the postoperative nursing was performed.Results The lung recruitments were successful in all the 12 patients.Compared to pre-operation,the arterial oxygen saturation(SaO2)and arterial oxygen partial pressure(PaO2)6 hours after treatment were significantly improved(P<0.05) while the CO2 partial pressure(PaCO2)was significantly decreased(P<0.05).There were no severe complications and no recurrence of pulmonary atelectasis.All the patients were successfully discharged.Conclusions The bronchoalveolar lavage combined with pulmonary insufflation is effective in treating post-thoracotomy atelectasis.To ensure the smooth treatment,perioperative nursing is also contributive.
