Closed thoracic drainage tube after thoracotomy observation and nursing care.docVIP

 PAGE \* MERGEFORMAT 6 Closed thoracic drainage tube after thoracotomy observation and nursing care [Keywords:] thoracic surgery, closed thoracic drainage tube, care Thoracic surgery, except for a few chest wall surgery, the closed thoracic drainage tube placement is required to play within the chest drainage gas, liquid, and promote lung expansion and prevent chest infection, reconstruction negative effects, and watch the character and drainage fluctuations in the water column, and find some unusual changes in condition to help doctors correct diagnosis, timely treatment, so after the observation and nursing drainage tube is a very important job, now we Nursing described below. A drainage tube care 1.1 First of all ensure that all parts of convergence close drainage tube firmly to prevent out of line, leakage, drainage tube about 1.3m in length, water-sealed bottles of liquid level should be lower than the drainage tube exit plane 60cm ~ 90cm, in order to prevent the liquid down into the chest cavity [1] . 1.2 500ml bottle of liquid should be about the bottom of the glass tube immersed in liquid level should be under the 3cm ~ 4cm, prevent gas entry, replace the bottle should be strictly aseptic chest, in principle, replaced once daily, if the drainage and more, each more than 400ml should be replaced to prevent excessive chest bottle of liquid, hydraulic pressure is too large, the liquid discharge prevents the chest cavity. 1.3 postoperative drainage, if the patient blood pressure was stable, it is best to keep the patient in a semi-recumbent position, which will help drainage and breathing, and encourage patients to cough, breathe deeply, so that the liquid into the pleural cavity of the gas discharge, to promote lung expansion. 1.4 maintain the drainage tube patency, without rendering the distorted, and pressure into the corner, should always squeeze drainage, prevent the formation of blood clots and blocked drainage. 1.5 For a long