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目的探讨CT引导下经皮肺穿刺活体组织检查(活检)术的效果及术后并发症的观察与护理方法。方法回顾分析2014年5月—8月行CT引导下经皮肺穿刺活检术的522例患者的临床资料,总结穿刺效果、术后并发症及护理对策。结果 522例患者中,术后明确诊断507例,未明确诊断10例,穿刺失败5例;203例出现并发症,包括气胸122例(发生率为23.4%),咯血56例(发生率为10.7%),胸腔积液20例(发生率为3.8%),胸膜反应4例(发生率为0.8%),纵隔气肿1例(发生率为0.2%),未发生大量血气胸、大咯血、肿瘤针道转移等严重并发症,上述并发症经过积极对症处理及针对性护理后治愈。结论 CT引导下经皮肺穿刺活检术是诊断肺占位性病变的一种安全可靠方法,但有部分患者会出现并发症,因此术后的观察与护理尤为重要,及时发现并发症并给予积极治疗与护理,多能取得满意效果。
Objective To investigate the effect of CT-guided percutaneous pulmonary biopsy (biopsy) and postoperative complications and nursing methods. Methods The clinical data of 522 patients who underwent CT guided percutaneous lung biopsy from May 2014 to August 2014 were analyzed retrospectively. The puncture effect, postoperative complications and nursing measures were summarized. Results Of the 522 patients, 507 cases were diagnosed after operation, 10 cases were not diagnosed correctly and 5 cases failed to puncture. Complications were found in 203 cases, including pneumothorax in 122 cases (23.4%) and hemoptysis in 56 cases (incidence rate was 10.7 %), Pleural effusion in 20 cases (3.8%), pleural reaction in 4 cases (incidence of 0.8%), mediastinal emphysema in 1 case (incidence rate of 0.2%), did not produce a large number of pneumothorax, hemoptysis, Tumor needle pathway transfer and other serious complications, the above complications after positive symptomatic treatment and targeted care after cure. Conclusion CT-guided percutaneous lung biopsy is a safe and reliable method for the diagnosis of lung space-occupying lesions. However, some patients may experience complications. Therefore, postoperative observation and nursing are particularly important, and timely detection of complications and positive Treatment and care, and more can achieve satisfactory results.