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胸部外科手术由于手术创伤大,手术时间较长,加之麻醉插管对气管粘膜的损伤,使肺的顺应性降低, 通气功能受到影响,易引起肺部感染、肺不张、急性呼吸功能衰竭等并发症,做好呼吸道围手术期的管理是预防开胸手术后肺部并发症的一项重要措施。2001年1月～2002年8月我院共实施胸外科手术治疗27例,术后肺部并发症发生率为11.5%,通过对27例病人术前做好健康宣教、心理护理配合手术治疗,指导病人进行呼吸训练及有效正确的咳嗽排痰法,术后加强各项监护配合胸部扣击护理,合理的氧气供给,严密病情观察,引流管道护理及康复指导等,降低了手术后并发症的发生率,提高了手术疗效。
Chest surgery due to surgical trauma, surgery for a long time, combined with anesthesia intubation on the tracheal mucosa damage, decreased compliance of the lungs, ventilation is affected, easily lead to pulmonary infection, atelectasis, acute respiratory failure Complications and management of perioperative respiratory tract is an important measure to prevent lung complications after thoracotomy. From January 2001 to August 2002, a total of 27 cases of thoracic surgery were treated in our hospital. The incidence of postoperative pulmonary complications was 11.5%. Through the preoperative health education and psychological care with 27 cases of patients with surgical treatment, Guide the patient to carry out respiratory training and effective cough and expectoration method, postoperative intensive care with chest buckling care, reasonable supply of oxygen, close observation of the disease, drainage tube care and rehabilitation guidance, reduce postoperative complications The incidence, improve the surgical effect.