气管、隆突、血管成形术治疗局部晚期中央型肺癌患者的护理体会

目的:提高对中央型肺癌高难度手术患者术后的护理水平以及并发症的防范。方法:回顾性分析2012年1月至2015年12月在我科采用支气管成形、隆突成形和血管成形手术治疗局部晚期中央型肺癌30例患者的临床资料,其中男24例、女6例。结果:术后并发症共14例,肺炎肺不张5例,呼吸衰竭3例,心律失常5例,乳糜胸1例,都经过积极治疗后康复出院,无住院死亡患者。结论:认为对局部晚期中央型肺癌,支气管、隆突和血管成形术,手术难度较大,对术后护理的要求更高,积极有效的护理干预在很大程度上不仅加速患者的康复,更能有效减少并发症的发生。

objective:to improve the postoperative nursing in patients with central type lung cancer difficult surgery level as well as the prevention of complications. Methods:A retrospective analysis in January 2012 to December 2015 in our department USES the bronchoplasty, juga forming and angioplasty in the treatment of locally advanced central type lung cancer clinical data of 30 patients, 24 cases of male, female 6 cases. Results:The postoperative complications, a total of 14 cases, pneumonia atelectasis in 5 cases, 3 cases of respiratory failure, cardiac arrhythmia in 5 cases, chylothorax in 1 case, rehabilitation hospital discharge after active treatment, no patients died in hospital. Conclusion:For locally advanced central type lung cancer, bronchus, juga and angioplasty, surgery is difficult, higher request on postoperative nursing, positive and effective nursing intervention to a great extent, not only speed the recovery of the patients, can effectively reduce the occurrence of complications.