Care for lung resection（照顾肺切除）.doc

Care for lung resection [Keywords] monitoring and care of lung resection Lung resection is a routine clinical treatment of lung disease as a surgical method for patients injuries are serious, especially respiratory and circulatory system a greater impact. Postoperative patients may experience a series of complications, if not in time or improper handling prone to death, so post-operative care and monitoring is particularly important now summarize our hospital ICU stay of patients after lung resection, the care and monitoring are summarized below: Clinical data April 2009 to April 2011 in our hospital in patients with lung resection Check our department a total of 37 patients, 6 females, 31 males, aged 56 to 67 years, mean age 59 years, of which 18 patients with lung cancer, tuberculosis 4 example, branch expansion in 5 cases, 31 males and 1 case with pulmonary atelectasis after tracheotomy, the rest were discharged. 2 Care 2.1 Postoperative monitoring of ICU stay after the close observation of vital signs, monitoring every 15 minutes to 1 hour time, to observe the patient conscious, looking, peripheral circulation, pay attention to whether the local cyanosis, skin temperature and low tissue perfusion phenomenon. 2.2 Handling and transportation of patients when Qingtai light, especially in pneumonectomy patients to prevent sudden swings caused by mediastinal cardiogenic shock, cardiac arrest. Chest tube must be clamped to prevent the water seal bottle of liquid or gas back into the chest, may lead to infection, and even the formation of empyema. 2.3 is not clear when the mind taken away pillow supine to prevent aspiration, with stable vital signs after the change to be semi-recumbent position, all patients with lung resection or significantly abnormal breathing technique is to take the lateral position, after the position should be regular exchange of to facilitate expectoration and lung reexpansion, to prevent the occurrence of atel