81例ct引导下经皮肺活检及其并发症的护理体会.docVIP

精品论文 参考文献 81例CT引导下经皮肺活检及其并发症的护理体会 胡宏燕 　　（安徽医科大学附属六安医院lt;六安市人民医院gt;呼吸内科 安徽 六安 237005) 　　【摘要】 目的：探讨CT引导下经皮肺活检术并发症的观察与护理。方法：做好患者宣教，术中安抚患者，精确定位、快速进针，术后及时处理气胸、出血等并发症。结果：81例患者中术后并发气胸12例，10例予吸氧等保守治疗后好转，2例经胸腔闭式引流后好转；并发咯血1例，针道出血19例，使用止血药治疗后好转。结论：CT引导下经皮肺活检术是诊断肺部占位性病变有效方法，因其方法检出率高、安全、微创，值得临床大力推广，必要的围术期护理是防治并发症的重要手段之一。 　　【关键词】 CT；经皮肺活检；护理 　　【中图分类号】R473.5 【文献标识码】B 【文章编号】2095-1752（2016）05-0310-02 　　81 cases of CT-guided percutaneous lung biopsy and Nursing of its complications Hu Hong-yan 　　Department of Repiratory Medicine of the Luan Affiliated Hospital,Anhui Medical University,Luan people hospital 237005, Luan 　　【Abstract】Objectiv To explore CT-guided percutaneous lung biopsy complications Observation and nursing.Methods Pastients well accepted preoperative teaching.Patients were pacificated during intraoperative,located exactly and inserted needle quickly.The complications,such as pneumothorax,hemorrhage et al,were dealt with in time.Result The complications of pneumothorax are 12 cases after surgery in 81 cases of patients, 10 cases to the oxygen and other conservative treatment improved, 2 cases improved after thoracic drainage; concurrent hemoptysis one case, the needle tract bleeding 19 cases, the use of hemostatic improved after treatment.Conclusion CT-guided percutaneous lung biopsy lung lesions is an effective way to diagnose, because the detection rate, safe, minimally invasive, worthy of promotion efforts, the necessary perioperative care is important to prevent complications of one of the means. 　　【Key words】 CT; percutaneous lung biopsy; Nurse 　　CT引导下经皮肺活检术(CT-guided percutaneous lung biopsy，CT-GPLB)作为肺部占位性病变诊断和鉴别诊断的重要手段之一，具有定位准确、易掌握穿刺方向、诊断准确率高、并发症少等特点。为提高确诊率降低并发症，在穿刺前后对病人进行充分的评估，采取有效的护理措施，取得较为满意的护理效果，现本文对81例接受PCNB患者的护理体会回顾性总结。 　　1.临床资料 　　1.1 对象 　　收集我科2014年6月～2015年6月81例患者经胸片或胸部CT证实肺部存在占位性病灶，但因病灶临近胸壁、纤支镜不能到达病灶，且痰脱落细胞学、肿瘤标记物等各项检查不能明确性质，其中男59例，女22例，年龄30～79岁，平均63.9岁，病灶位于右肺46例，左肺35例，病灶直径17mm～130mm，gt;2cm的75例，le;2cm的6例，平均47.9