1 case of closed thoracic drainage in patients with acute empyema Nursing.docVIP

 PAGE \* MERGEFORMAT 7 1 case of closed thoracic drainage in patients with acute empyema Nursing [Keywords:] acute empyema; drainage; Care Acute empyema was caused by a bacterial infection of the pleural cavity of the chest diseases. Clinical manifestations of high fever, chest tightness, chest pain, shortness of breath, loss of appetite, chest tightness and other symptoms. Empyema usually be done in patients with closed thoracic drainage, so that gas or liquid discharge, pulmonary recovery of tension to achieve the purpose of infection control and treatment. hospital in May 2008 were received empyema in 1 case, and ultimately through active and timely treatment and careful nursing of patients cured, now nursing reported as follows. 1 Clinical data Patients, female, 67 years old, because of progressive chest pain, shortness of breath with 3 days to our hospital. Zha X ray showed: large left pleural effusion admitted to hospital for further treatment. Hospitalized acute test T 38.6 to check blood showed WBC 26.42 109 / L, B-RH positive blood type, a full set of normal blood coagulation, local anesthesia immediately thoracentesis, pus out of 20 ml, considering patients with acute left empyema, to closed thoracic drainage surgery, pus drainage from about 1 200 ml, yellow, flocculent, odor, drainage bottle to be replaced, fixed, symptoms were relieved. Postoperative vital signs were stable, it is to be levels of care, general food, oxygen , indwelling catheterization, ECG, chest closed drainage, rehydration be Cefminox, ornidazole and other anti-infective treatment .5 improve nutrition in patients on at 19:10 on the 18th chest tightness shortness of breath, difficulty breathing, sweating, T 38 , P 135 / second, R 25 times / min, BP 180/110 mm Hg, oxygen saturation 80%, was prescribed to 25 mg intramuscular injection of promethazine, dexamethasone 10 mg intramuscular injection, intravenous infusion of asthma be , medical consultation, reported in criti