胸科高龄患者术后呼吸道护理

RESPIRATORY TRACT NURSING CARE OF SENI LE PATIENTS AFTER THORACIC SURGERY

高龄患者胸外科手术后并发症明显高于普通患者。76例高龄患者术后有10例抢救,占13.2%,明显高于非高龄组的3.6%。抢救的10例高龄病人均有呼吸功能不全。其中5例合并肺部感染。术后护理对于减少并发症至关重要,主要措施有麻醉清醒期护理及呼吸道特别护理。本文着重介绍如何诊断和协助病人排出呼吸道分泌物,预防术后肺部并发症的发生。

The occurrence of complications after thoracic surgery in senile patients are obviously higher than those in younger patients.Of the 76 operated senile patients,intensive care were needed in 10 cases, which accounted for 13.2%,and is significantly higher than that of non-senile patients.All of the 10 patients were in respiratory failure and 5 had pneumonia.Postoperative care is very important for decreasing complications.Post-anesthetic recovery and special respiratory care are most important.This artical describes the nursing experience in thoracic surgery,especially in the diagnosis and management of the patients with retention of secretion in respiratory tract,in order to prevent patients from pulmonary complications.