Elderly patients with closed thoracic drainage tube after thoracotomy nursing experience.docVIP

 PAGE \* MERGEFORMAT 10 Elderly patients with closed thoracic drainage tube after thoracotomy nursing experience [Keywords:] thoracotomy, closed thoracic drainage, care Thoracic Surgery closed thoracic drainage is the wider application of technology to the principle of gravity drainage is re-thoracotomy, maintaining negative pressure chest, chest drainage product gas, fluid, an important measure to promote lung expansion. Its purpose is To better improve the thoracic negative pressure, so that gas, blood, fluid discharged from the pleural cavity and prevent the reflux, to promote lung recruitment, pleural cavity closed, balanced pressure, to prevent mediastinal shift and pulmonary pressure. I focus on sections of my patients over the age of 65 chest tube placement in nursing are summarized below, because these patients thoracotomy in thoracic surgery is also broader than the specific patient populations, do these patients the care and closed thoracic drainage tube has some difficulties. 1 Clinical data Our department in August 2006 -2008 in August a total of 192 patients to do open heart surgery, 128 patients over 65 years old, maximum age 91 years, male 87 cases, 41 cases female. In which the esophagus and cardia of 137 cases of radical operation, lobe resection of lung segment in 18 cases, 17 cases of resection of lung, thoracoscopic lobectomy, 20 cases of pulmonary bulla resection. This group of complications: bleeding in 2 cases, 2 cases of chylothorax, underwent secondary thoracotomy .96% of the patients after surgery 48 ~ 72h extubation, and the remaining 7 after surgery was extubated 12 days. 2 Care 2.1 Preoperative Care 2.1.1 Health guidance before surgery after admission for elective surgery for patients in health education, highlighted the deep breathing and coughing the correct method of guidance, the use of individual and explain the method of combining collectivization, and strive to master the skills of each patient. For senio