侵犯气管及心脏大血管肺癌患者术后并发症的护理

2016-02-06王聚全

中国卫生标准管理 2016年5期

王聚全

王聚全

【摘要】目的探讨侵犯气管及心脏大血管肺癌患者术后并发症的护理措施。方法回顾性分析2014年11月～2015年11月在住院治疗的65例侵犯气管和心脏大血管肺癌患者临床病例资料，总结其术后并发症护理措施。结果 65例患者均手术顺利完成，手术操作时间为3～5 h；术后出现并发症者共24例，并发症发生率为36．9%，包括肺部感染14例和心律失常10例；针对术后并发症实施有效护理后，患者术后并发症均好转，未见死亡病例出现。结论对患者术后并发症采取针对性护理，尤其是对患者采取心理护理、心肺并发症护理是确保手术成的关键。

【关键词】气管；心脏大血管；肺癌；术后并发症；护理效果

Objective To explore nursing measures on pulmonary complications in patients with lung cancer encroaching upon trachea and large cardiac vessels． Methods The clinical data of 65 cases of patients with lung cancer encroaching upon trachea and large cardiac vessels admitted in our hospital from November 2014 to November was analyzed retrospectively，the nursing measures on postoperative complications weresummarized． Results 60 cases of operations for the patients were all smoothly completed，the operation time between 3 to 5 hours，24 cases of them had complications after operation，the complication rate was 36．9%，including 14 cases of pulmonary infections and 10 cases of cardiac arrhythmia，after effective nursing had been implemented for the complications，the conditions were all improved，no death case happened． Conclusion Targeted nursing for patients with postoperative complications，especially mental nursing，cardiopulmonary complication nursing care are the keys to ensure a successful surgery．

【Key words】 Trachea，Heart great vessels，Lung cancer，Postoperative complications，Care effect

早前认为对侵犯气管以及心脏大血管的肺癌患者不宜进行手术治疗。随着外科手术技术的不断发展，目前对侵犯气管以及心脏大血管的肺癌患者常采取选择性扩大切除治疗，由于该类疾病手术治疗期间需处理气管、心脏大血管，手术较复杂，具有较大难度，而且术后并发症发生率较高，因此采取积极有效地护理对提高患者治疗效果以及预后具有十分重要的意义［1-2］。我院对2014年11月～2015年11月在住院治疗的侵犯气管和心脏大血管肺癌患者采取手术切除治疗，同时对术后并发症予以积极有效护理。现将其汇报如下。