CAJ | 학술논문

本文报道2007年5月～2014年6月31例肺气肿合并气胸患者围手术期呼吸道的护理，27例顺利完成胸腔镜肺减容手术，4例由于胸膜腔严重粘连中转开胸手术，无严重呼吸道并发症发生。我们认为护理的要点为术前积极的心理护理、呼吸道准备和训练以及适当的体能训练，术中积极防止误吸等情况发生，术后有效镇痛，有效管理胸腔闭式引流。
본문보도2007년5월～2014년6월31례폐기종합병기흉환자위수술기호흡도적호리，27례순리완성흉강경폐감용수술，4례유우흉막강엄중점련중전개흉수술，무엄중호흡도병발증발생。아문인위호리적요점위술전적겁적심리호리、호흡도준비화훈련이급괄당적체능훈련，술중적겁방지오흡등정황발생，술후유효진통，유효관리흉강폐식인류。
[Summary] The paper reported perioperative respiratory nursing experience of 31 patients with emphysema complicating pneumothorax treated with lung volume reduction surgery under video-assisted thoracoscopy .The thoracoscopic surgery was completed in 27 patients and conventional thoracotomy were required in 4 patients because of severe pleural cavity adhesions .No severe respiratory complications occurred in all the patients .We deemed that positive preoperative mental nursing , respiratory preparation and exercises, proper physical training , intraoperative prevention of hazardous inhalation , postoperative effective analgesia , and careful management of closed thoracic drainage are key points of perioperative nursing .