摘要
目的探讨开胸术后并发乳糜胸时应用生长抑素的疗效,以及同时辅以系统的护理措施的治愈情况。方法选择我院2007年1月～2010年7月开胸术后发生乳糜胸患者60例作为观察对象,所有患者根据是否给予护理干预随机分为干预组和对照组各30例,比较两组的每日胸腔引流量减少、平均治愈时间、治愈率及死亡率。结果护理干预组应用生长抑素治疗开胸术后的乳糜胸的每日胸腔引流量减少明显多于对照组,治愈时间短于对照组。干预组保守治疗的治愈率明显高于对照组,但两组总治愈率均为100.0%,死亡率均为0,两组比较差异无显著性。结论乳糜胸是开胸手术后的严重并发症之一,一旦确诊应积极采取措施治疗,同时配合一系列精心的护理干预措施以提高乳糜胸的治疗效果,包括心理护理、胸腔灌注的护理、胸腔闭式引流管的护理、胸膜粘连后护理。
Objective To explore the effect of somatostatin and systematic nursing measures on thoracotomy chylothorax. Methods 60 patients of thoracotomy chylothorax in our hospital from January 2007 to July 2010 were randomly divided into intervention group and control group.Daily pleural drainage decrease,the average healing time, the cure rate and mortality of two groups were compared. Results The daily pleural drainage decrease of nursing intervention group was significantly more than the control group,and healing time of nursing intervention group is shorter. The cure rate of conservative treatment in the intervention group was significantly higher than, but the total cure rate of two groups were all 100.0% and death rate were all O%.There was no significant difference between the control group and the intervention group. Conclusion Chylothorax after thoracic surgery is one of the serious complications once diagnosed the active measures and series of careful nursing interventions should be taken to elevate the therapeutic efficacy, including psychological care, pleural infusion care, nursing closed thoracic drainage tube and pleural adhesion after-care.
出处
《中国现代医生》
2011年第5期119-120,共2页
China Modern Doctor
关键词
生长抑素
乳糜胸
护理
Somatostatin
Chylothorax
Care
