J4 ›› 2015, Vol. 14 ›› Issue (10): 82-83.

• 护理学 • 上一篇    下一篇

单孔胸腔镜肺大泡切除手术的配合与术中护理分析

  

  1. (云南省第一人民医院,昆明650032)
  • 收稿日期:2015-06-08 出版日期:2015-10-15 发布日期:2015-10-15
  • 作者简介:张咏琴,主管护师,主要从事手术室护理管理研究.

Nursing Experience in Intraoperative Cooperation and Care of Single Hole Thoracoscope
for Pulmonary Bulla Resection

  1. (The First People's Hospital of Yunnan Province, Kunming 650032, China)
  • Received:2015-06-08 Online:2015-10-15 Published:2015-10-15

摘要:

目的:总结单孔胸腔镜肺大泡切除手术的配合和术中护理。方法:回顾性分析2014年6月至2015年3月在我院手术室
因自发性气胸行单孔胸腔镜肺大泡切除手术的28例患者临床资料,对术中配合体会与护理要点分析。结果:28例手术患者
均为自发性气胸患者,手术均采用单孔胸腔镜肺大泡切除手术,无中转开胸手术,患者术后均留置16号硅胶引流管作为胸腔
闭式引流管,手术耗时30~80 min,平均55 min,术中出血5~30 mL,手术切口长度2.5~3.0 cm。术后28位患者安全返回病
房。结论:单孔胸腔镜肺大泡切除手术不仅对手术医生,也对手术室护士提出了更高的要求。手术室护士需要更加专业、娴熟
的手术配合技术,才能适应外科手术发展的需求。

关键词: 单孔胸腔镜, 肺大泡切除术, 术中护理

Abstract:

Objective: To investigate the nursing experience in operative cooperation and intraoperative care of single hole
thoracoscope for pulmonary bulla resection. Methods: Data of 28 cases of spontaneous pneumothorax underwent single hole
thoracoscopic pulmonary bulla resection in the First People's Hospital of Yunnan Province from June 2014 to March 2015 were
retrospectively analyzed and summarized care experience. Results: All patients were applied surgery with single hole thoracoscope, no
transfer to open chest surgery. All patients were drainaged with 16# silicone intrathoracic drainage tube after operation. The operative
times were 30 to 80 min(mean 55 min), bleeding were 5 to 30 mL and incision length were between 2.5-3.0 cm. Postoperatively all
28 patients returned to the ward safely. Conclusion: The single hole thoracoscopic pulmonary bulla resection put forward higher
requirements for nurses of operation room. Operation room nurses need to be more professional, skilled operation with technology, in
order to meet the needs of the development of surgical operation.

Key words: single hole thoracoscopy, bullae of lung resection, intraoperative care

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