胸部肿瘤切除术后低氧血症的原由分析及护理.pdfVIP

2001 12 December , 2001 16 8 6 Nanfang Jo rnal of N rsing Vol. 8 No . 6 胸部肿瘤切除术后低氧血症的原因分析及护理 , , ( ICU, 510060) [ ] , 536 , 1237 , , , , 2 , , , , , , , , [ ] ; ; ; [ ] R473. 73 [ ] A [ ] 1008- 9969( 2001) 06- 0016- 03 Analysis and nursing of hypoxemia after thoracic tumor resection XIN Mingzh , ZHOU J mei, ZHANG Xiaoping ( I CU, the T um or H osp ital, Su n Yetse n Univ ersity of M edical Scie nces , Gu angz hou 510060, China Abstract: Objective To analyze the ca ses of postoperation hypoxemia in thoracic t mor resection, and probe into s itable n rsing care. Methods 536 patients who had a thoracic t mor operation w ere divided into esophagectomy gro p, single lobectomy gro p and do ble lobectomy and phe onectomy gro p according to the operation mode. The blood gas analysis ( BGS) w as cond cted before operation and at d 1, 2, 3 and 7 after opera tion betw een each gro p and each day. The PaO betw een each gro p and each day w ere compared and the relations w ere analyzed betw een the opera 2 tion and the postoperative complications. Results There w as no significant difference in preoperative PaO betw een three gro ps, b t difference de 2 gree postoperative hypoxemia occ rred, especially obvio s in second day after operation. T he most common complications w ere arrhythmia and dyspnea and the incidence w as m ch higher in the esophagectomy gro p than that in the single lobectomy gro p. Conclusion The postoperative hypoxemia of thoracic t mor resection is inevitable. The ca ses are related to many factors incl ding operation mod