24 cases of spontaneous pneumothorax in the care of tuberculosis.docVIP

 PAGE \* MERGEFORMAT 6 24 cases of spontaneous pneumothorax in the care of tuberculosis [Keywords:] tuberculosis nursing pneumothorax Tuberculosis is one of the common causes of spontaneous pneumothorax, spontaneous pneumothorax is a common acute lung Division, which is characterized by acute onset, such as the rescue is not timely or improper care, patients can be rapidly developed respiratory and circulatory failure and death. I January 2006 ~ December 2008 1906 cases of patients were treated, including 24 cases of spontaneous pneumothorax patients, nursing now reported as follows. 1 Clinical data 1.1 General Information The 24 cases 19 cases were male and 5 female patients, of which 21 to 40 years old in 13 cases, 10 cases of 40 to 60 years over 60 years old in 1. Pneumothorax type: 11 cases of closed pneumothorax, tension pneumothorax in 13 cases. 1.2 Treatment Mild symptoms of closed pneumothorax in 5 cases, bed rest observed. Gas chest compression is greater than 20% in 7 cases, mild difficulty in breathing, heart and lung function were good, the choice of thoracentesis exhaust. Tension pneumothorax closed thoracic drainage in 11 cases selected. There 1 case of pneumothorax surgery. drug use 2HRIE / 4 7HRE chemotherapy plus the chest tube suction or closed drainage treatment. Bank of the 24 cases 11 cases of closed drainage, intubation time, the shortest 36h, up to 1 months. 2 Observation and nursing care 2.1 General care (A close observation of vital signs. (2 bed rest, reduced oxygen consumption, and promote healing of lung rupture in order to facilitate lung recruitment. (3 patients with severe cough and prevent constipation, avoid pneumothorax aggravated, given antitussive agents, sedatives, maintaining smooth stool . (4 diet care, given high-protein diet, high calorie semi-liquid, to supplement the consumption of the disease. 2.1.1 Prevention of infection Closed drainage operation and supplies to be sterile, tube