CAJ | 학술논문

目的:总结单孔胸腔镜肺大泡切除手术的配合和术中护理.方法:回顾性分析2014年6月至2015年3月在我院手术室因自发性气胸行单孔胸腔镜肺大泡切除手术的28例患者临床资料,对术中配合体会与护理要点分析.结果:28例手术患者均为自发性气胸患者,手术均采用单孔胸腔镜肺大泡切除手术,无中转开胸手术,患者术后均留置16号硅胶引流管作为胸腔闭式引流管,手术耗时30~80 min,平均55 min,术中出血5~30 mL,手术切口长度2.5~3.0 cm.术后28位患者安全返回病房.结论:单孔胸腔镜肺大泡切除手术不仅对手术医生,也对手术室护士提出了更高的要求.手术室护士需要更加专业、娴熟的手术配合技术,才能适应外科手术发展的需求.
목적:총결단공흉강경폐대포절제수술적배합화술중호리.방법:회고성분석2014년6월지2015년3월재아원수술실인자발성기흉행단공흉강경폐대포절제수술적28례환자림상자료,대술중배합체회여호리요점분석.결과:28례수술환자균위자발성기흉환자,수술균채용단공흉강경폐대포절제수술,무중전개흉수술,환자술후균류치16호규효인류관작위흉강폐식인류관,수술모시30~80 min,평균55 min,술중출혈5~30 mL,수술절구장도2.5~3.0 cm.술후28위환자안전반회병방.결론:단공흉강경폐대포절제수술불부대수술의생,야대수술실호사제출료경고적요구.수술실호사수요경가전업、한숙적수술배합기술,재능괄응외과수술발전적수구.
Objective: To investigate the nursing experience in operative cooperation and intraoperative care of single hole thoracoscope for pulmonary bulla resection. Methods: Data of 28 cases of spontaneous pneumothorax underwent single hole thoracoscopic pulmonary bulla resection in the First People's Hospital of Yunnan Province from June 2014 to March 2015 were retrospectively analyzed and summarized care experience. Results:All patients were applied surgery with single hole thoracoscope, no transfer to open chest surgery. All patients were drainaged with 16# silicone intrathoracic drainage tube after operation. The operative times were 30 to 80 min(mean 55 min), bleeding were 5 to 30 mL and incision length were between 2.5-3.0 cm. Postoperatively all 28 patients returned to the ward safely. Conclusion: The single hole thoracoscopic pulmonary bulla resection put forward higher requirements for nurses of operation room. Operation room nurses need to be more professional, skilled operation with technology, in order to meet the needs of the development of surgical operation.