Endoscopic sinus surgery for chronic sinusitis in perioperative nursing.docVIP

 PAGE \* MERGEFORMAT 11 Endoscopic sinus surgery for chronic sinusitis in perioperative nursing [Keywords:] Sinusitis, ENT surgery, during surgery, nursing Endoscopic surgery of chronic sinusitis is high or low depends not only on excellent surgical technique, but also rely on the correct perioperative care and comprehensive treatment, especially in perioperative nursing more and more attention. Our department since 2007 January ~ December 2007, the 120 patients with chronic sinusitis underwent endoscopic sinus surgery, and achieved good effect, now perioperative nursing experience are summarized below. 1 Clinical data 120 cases, male 67 cases, 53 females, aged 5 to 73 years, average 31 years of age, duration of 6 months to 35 years. According to preoperative nasal endoscopy and coronal sinus CT scans, according to the standard classification of the sea stage [1], -type in 9 cases (including one in 2 cases, 2 in 3 cases, 3 in 4 cases), type 100 cases (including one in 6 cases, 54 cases 2, 3, 40 cases, type in 11 cases. Messerklinger surgical operation to the main, -type lesion of the uncinate process, opening the anterior ethmoid, maxillary sinus and frontal recess natural port, lesions removed polyps, uncinate process, full screen open, the natural mouth and maxillary sinus sinus open or full frontal recess opening, lesions open for all sinus surgery. except after loose gauze after every 3 to 5 days cleaning the nose, drop by the local vasoconstrictor, antibiotics and other medicine, and Berkner, general application of antibiotics and steroids for 7 days. discharge the continued application of oral antibiotics, steroids 1 to 2 weeks. Local continue to apply the vasoconstrictor, antibiotics and steroids (Berkner or auxiliary Shu good in 3 to 6 months. according to the specific situation review of every 1 to 2 weeks wash nasal and sinus 1, dissection cavity vesicles, granulation and polyp, and separation of adhesions, 3 months after the return