马建萍，汤耀东

(宁波市医疗中心李惠利医院，浙江 宁波 315040)

·临床护理·

电视硬质气管镜联合电子支气管镜治疗复杂大气道狭窄的护理

马建萍，汤耀东

(宁波市医疗中心李惠利医院，浙江 宁波 315040)

目的：探讨经电视硬质气管镜联合电子支气管镜治疗的气道疾病患者的护理方法。方法对6例经电视硬质气管镜联合电子支气管镜治疗的患者予围手术期护理，术前重点进行呼吸道护理、心理护理及氧疗，术中的密切配合，术后严密监测生命体征，加强呼吸道管理，指导其合理饮食及并发症的预防、观察和护理等。结果患者情绪稳定，能积极主动配合治疗。本组6例患者手术成功，气道均恢复通畅，无并发症的发生，提高了其生活质量。结论细致有效的术前、术后护理和默契的术中配合是保证患者安全，预防并减少手术并发症，提高手术成功率的关键。

电视硬质气管镜；电子支气管镜；气道狭窄；护理

Abstract：[Objective] To discuss the effective nursing care management in the interventional therapy for complicated central airway stenosis with video-assisted rigid bronchoscope combined with electronic bronchoscope. [Method] Six patients suffering complicated central airway stenosis were given interventional therapies like argon blade laser ablation, stent implantation or removal with video-assisted rigid bronchoscope and electronic bronchoscope. Comprehensive nursing care management including thorough preoperative preparations, cooperation during the interventional therapy, careful monitoring and prompt dealing with possible complications afterwards was given and evaluated. [Result] All of the six interventional operations were carried out successfully; all of the six patients were relieved of dyspnea through airway remodeling by stents implantation; two temporary stents were removed successfully. Only one patient was complicated with minor hemoptysis and alleviated soon. [Conclusion] Efficient and dedicate nursing care during the interventional therapy requires comprehensive management, which is of substantial importance in guaranteeing the success of the therapeutic invention.

Keywords: video-assisted rigid bronchoscope; electronic bronchoscope; airway stenosis; nursing care

电视硬质气管镜是现代介入性肺病学的重要工具，其现代价值在于作为介入通道允许电子支气管镜及其他器械进入气道内，经电子支气管镜的目镜观察定位，可在直视下进行支架释放、激光消融、取异物和冷冻、电切等操作[1]，对于许多肺部疾病的诊断和治疗都具有重要的价值，特别是对复杂的大气道梗阻性疾病甚至是惟一的挽救患者生命的方法。我院呼吸科为6例患者实施电视硬质气管镜联合电子支气管镜手术治疗，治疗效果满意，现就护理情况总结如下。……