摘要
目的:探讨胸腔留置中心静脉导管治疗自发性气胸的护理。方法:对89例应用留置中心静脉导管胸腔治疗自发性气胸患者,术前做好个性化的心理护理,术后加强引流管的护理、穿刺点的保护及预防感染。结果:89例患者仅3例脱管需重新置管,83例治愈出院,6例未愈转外科治疗后治愈出院。结论:胸腔留置中心静脉导管治疗自发性气胸可以避免反复穿刺造成胸膜多处损伤、出血以及插管漏气造成的皮下气肿也减少因反复穿刺给患者带来的痛苦。细致周到的护理是保证置管有效引流及预防并发症的发生重要措施。
Objective ：To investigate the indwelling central venous catheter-assisted thoracoscopic treatment of spontaneous pneumothorax care. Methods： 89 cases of the application of indwelling central venous catheter-assisted thoracoscopic treatment of spontaneous pneumothorax in patients with preoperative psychological well personalized care, postoperative care to strengthen the tube, needle point protection and the prevention of infection. Results： Only three cases need to be re-pipe tube, 83 patients were cured,6 cases were not cured but changed to the surgical department, and they left a hospital after treatment finally. Conclusion： Indwelling central venous catheter-assisted thoracoscopic treatment of spontaneous pneumothorax can avoid pleura injuries and bleeding which caused by repeated punctures and avoid the subcutaneous emphysema caused by intubation leakage, at the same time it can reduce the suffering of patients as no repeated punctures. Thoughtful and meticulous catheter care is an important measure to ensure effective drainage and prevent the complications.
出处
《中国医药导报》
CAS
2009年第33期76-77,共2页
China Medical Herald
关键词
留置中心静脉导管
自发性气胸
护理
Indwelling central venous catheters
Spontaneous pneumothorax
Nursing care
