老年腹部肿瘤患者术后痰阻塞致通气障碍原因分析及对策

Cause and Management of Obstructive Ventilatory Disorder Resulting from Sputum in Old Postoperative Patients With Abdominal Tumor

目的预防及处理老年腹部肿瘤患者术后痰阻塞致通气障碍,调节指端脉搏血氧饱和度(SPO2)。方法术后及时观察分析患者痰阻塞的主要原因,同时通过心电监护仪读取SPO2数据,并给予相应的护理。结果747例患者术后发生SPO2降低24例,均为痰阻塞致通气障碍。给予排痰措施,咳出痰液后解除通气障碍,SPO2恢复至正常。结论痰阻塞是通气障碍的原因,SPO2是一个敏感的预测指标,及时排痰是有效的对策。

Objective To prevent and manage obstructive ventilatory disorder owing to sputum in old postoperative patients with abdominal tumor, and correct the arterial oxygen .saturation （SPO2） to normal. Methods The cause of obstructive ventilatory disorder owing to sputum was finding in time after operation, so as to manage it. And the SPO2 was detected by electrocardio - monitor. Results In 747 patients, SPO2 was lower in 24 patients and obstructive ventilatory disorder owing to sputum was it＇s cause. Conclusions Sputum is the cause of obstructive ventilatory disorder in old postoperative patients with abdominal tumor, and SPO2 is the sensitive signal. The effective treatment is cleaning the sputum away.