中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
15期
105-105,106
,共2页
全程护理%腹腔引流导管%胸腔积液%闭式引流
全程護理%腹腔引流導管%胸腔積液%閉式引流
전정호리%복강인류도관%흉강적액%폐식인류
The whole nursing%Peritoneal drainage catheter%Pleural effusion%Closed drainage
目的：在胸腔置管引流治疗恶性胸水过程中进行全程护理，为该类疾病的护理提供医学参考。方法：选取笔者所在医院收治的32例恶性肿瘤所致胸腔积液患者，所有患者均行胸腔闭式引流，对胸水性质进行观察及胸腔内药物注射，并全程护理。结果：32例患者均一次置管成功，3例导管阻塞，用肝素稀释液3 ml冲管后再通；3例导管脱落重新置管；1例出现气胸经健侧卧位引流管抽气后治愈。经导管胸腔内注入高聚金葡素，结合原发病的综合治疗，所有患者经3~10 d置管，胸腔积液引流彻底。结论：腹腔引流导管闭式引流是一种安全、可靠、损伤小的方法，临床护理到位可有效避免堵管及导管脱落，缓解患者心理压力，有利疾病恢复，缩短住院时间，值得临床进一步推广和应用。
目的：在胸腔置管引流治療噁性胸水過程中進行全程護理，為該類疾病的護理提供醫學參攷。方法：選取筆者所在醫院收治的32例噁性腫瘤所緻胸腔積液患者，所有患者均行胸腔閉式引流，對胸水性質進行觀察及胸腔內藥物註射，併全程護理。結果：32例患者均一次置管成功，3例導管阻塞，用肝素稀釋液3 ml遲管後再通；3例導管脫落重新置管；1例齣現氣胸經健側臥位引流管抽氣後治愈。經導管胸腔內註入高聚金葡素，結閤原髮病的綜閤治療，所有患者經3~10 d置管，胸腔積液引流徹底。結論：腹腔引流導管閉式引流是一種安全、可靠、損傷小的方法，臨床護理到位可有效避免堵管及導管脫落，緩解患者心理壓力，有利疾病恢複，縮短住院時間，值得臨床進一步推廣和應用。
목적：재흉강치관인류치료악성흉수과정중진행전정호리，위해류질병적호리제공의학삼고。방법：선취필자소재의원수치적32례악성종류소치흉강적액환자，소유환자균행흉강폐식인류，대흉수성질진행관찰급흉강내약물주사，병전정호리。결과：32례환자균일차치관성공，3례도관조새，용간소희석액3 ml충관후재통；3례도관탈락중신치관；1례출현기흉경건측와위인류관추기후치유。경도관흉강내주입고취금포소，결합원발병적종합치료，소유환자경3~10 d치관，흉강적액인류철저。결론：복강인류도관폐식인류시일충안전、가고、손상소적방법，림상호리도위가유효피면도관급도관탈락，완해환자심리압력，유리질병회복，축단주원시간，치득림상진일보추엄화응용。
Objective:In the chest tube drainage in the process of the treatment of malignant pleural effusion in the whole nursing,all patients were given the whole nursing,to care for the disease to provide reference of medicine.Method:32 cases with malignant pleural effusion caused by malignant trumor in author’s hospital were selected,all patients were performed chest closed drainage,to look at the chest water properties and the chest cavity medicine injection. Result:32 patients were first catheter successful,3 cases of catheter obstruction with heparin dilution 3 ml tube recanalization after;3 cases of catheter shedding catheter;1 case with pneumothorax after health side-lying position drainage tube suction cured. Patients with malignant pleural effusion chest cavity through the catheter to inject high poly staphylococci,combined with the comprehensive treatment of the primary disease,all patients by 3 to 10 days of catheterization ,and thorough drainage of pleural effusion. Conclusion:Abdominal cavity drainage catheter closed drainage is a safe,reliable,small damage,the method of clinical nursing in place can effectively avoid blocking tube and catheter removal,ease the patients psychological pressure,good disease recovery,shorter hospital stay, worthy of clinical promotion and application further.
