论文部分内容阅读
目的总结外伤性脾破裂合并胸部外伤患者行脾切除术后的护理经验。方法回顾性分析外伤性脾破裂合并胸部外伤患者22例,所有患者均行脾切除术,在护理工作中严密监测生命体征、加强疼痛控制、加强排痰护理、观察引流管引流液及引流量、做好门静脉及下肢深静脉血栓的预防。结果所有患者均未出现严重的术后并发症,其中出现轻微肺不张患者2例,腹部切口脂肪液化患者1例,其余均Ⅰ期愈合。结论本研究的护理方案对外伤性脾破裂合并胸部外伤患者的护理是一种行之有效的护理干预,值得临床护理中推广应用。
Objective To summarize the nursing experience after splenectomy in patients with traumatic splenic rupture complicated with thoracic trauma. Methods Twenty-two patients with traumatic splenic rupture complicated with thoracic trauma were retrospectively analyzed. All the patients underwent splenectomy. Vital signs were monitored during the nursing work, pain control was enhanced, and sputum aspiration and drainage were monitored. Drainage and drainage were observed. Good portal vein and lower extremity deep vein thrombosis prevention. Results No serious postoperative complications were found in all patients. Among them, 2 patients had mild atelectasis and 1 patients underwent abdominal incision with fat liquefaction. All others were healed by first intention. Conclusion Nursing of patients with traumatic splenic rupture complicated with thoracic trauma is an effective nursing intervention in this study. It deserves to be popularized in clinical nursing.