Early postoperative chylothorax Observation and nursing care.doc

 PAGE \* MERGEFORMAT 6 Early postoperative chylothorax Observation and nursing care [Abstract] Objective To summarize the early postoperative chylothorax nursing experience. Methods 11 cases of chylothorax, strengthen the observation of patients and psychological care, with pleural injection, to enhance nutritional support. Results 11 patients were cured by conservative treatment, effect is obvious. Conclusion chylothorax after esophagectomy, close observation by nurses and actively cooperate with medical treatment, coupled with the care in place measures to effectively improve the success rate of conservative treatment, avoiding the pain of the second surgery. [Keywords:] esophageal cancer; Chylothorax; Care Chylothorax after resection of esophageal cancer one of the more serious complications, the light can lead to water and electrolyte disturbance, hypoalbuminemia, decreased immune function, can cause severe respiratory and circulatory failure and even death. So to enhance postoperative observation of chest tube and nursing guidelines, early detection of signs of chylothorax, and to take positive and effective measures for treatment and care, it is particularly important. our department from December 2005 to December 2009 480 cases of esophageal cancer surgery, including complicated 11 cases of chylothorax after positive conservative treatment and careful nursing, the effect is satisfactory, were cured, are as follows. 1 Clinical data 1.1 General information on 11 patients, 9 males and 2 females, aged 54 to 70 years, 8 cases of esophageal cancer, 3 cases of esophageal cancer, surgical resection of esophagus and stomach as esophageal anastomosis in 7 cases under the bow, bow anastomosis in 4 cases, time of chylothorax occurred after 2 to 3 days, the daily chest tube drainage volume cited in the 700 ~ 1 100 ml, yellow and bloody pleural fluid. 1.2 Treatment (1) to maintain patency of chest tube drainage cited; (2) fast water; (3) intravenous