Chronic postoperative empyema on pleural lavage Nursing（慢性术后胸腔灌洗护理积脓症）.doc

Chronic postoperative empyema on pleural lavage Nursing Write papers Network: January 2007 - February 2011 our department treated patients with chronic empyema empyema, pleural lavage cleared to continue treatment, the effect is satisfactory, nursing now reported below. Clinical data Patients with 57 cases including 34 males and 23 females, aged 17-78 years old, right empyema in 31 cases, left empyema, 26 cases of simple empyema in 52 cases, associated with lung disease, 5 cases were durationgt; 1 years. 2 treatment 2.1 fluid preparation to do prior to washing with temperature iodine allergy test negative before use. Washing fluid for soft bags of saline 400ml +5% povidone-iodine solution 100ml, drugs heater, so that irrigation fluid temperature reaches 35 37 ? too hot or too cold will cause a series of pleural reaction the prepared solution into a one-time infusion bags, infusion sets off the top of the ventilation plug, kept tightly closed to prevent air entering the chest after washing droplets, removing fluid needle attached to the front and filtration devices, keep the front yellow hose, conventional exhaust after the stand. 2.2 Choose washing method and position under general anesthesia and thoracotomy after thoracoscopic empyema dissection line, after placing down two pleural cavity drainage tube, the tube 20, tube, placed in the mid clavicular line 2 to 3 ribs , the bottom of the drainage tube 30, placed in the axillary line intercostal 7-8. On the plastic tube directly over the front of the yellow infusion hose connected to water seal bottle under the drain tube then, connection closed immediately after washing, rinse the amount of 1 250ml, 1 2 times a day, dropping from 10 to 20 drops / min gradually to 30 to 40 drops / min, 10 to 20 days treatment, flushing with a oval closed drainage tube clamp closed bottom, infusion drugs. decumbens beginning to take a low position, to be washed into droplets after guide the patients accordi