Nursing after repair of bronchial.doc

 PAGE \* MERGEFORMAT 10 Nursing after repair of bronchial [Keywords:] bronchial repair, care Trachea, bronchial rupture rare, but with the rapid development of transport, traffic accident surge, bronchial rupture caused by blunt chest trauma patients are also increasing. I hospital from June 1999 to November 2007, were admitted to trauma 24 cases of bronchial rupture is now reported as follows on their nursing care. 1 Clinical data 1.1 General Information 24 cases of bronchial rupture in 18 males and 6 females, aged from 17 to 66 years, mean age 40 years old .24 cases of bronchial rupture cases, the right side in 15 cases, the left side in 9 cases, 3 of them were part of the fault, I was completely broken. from injury to surgery time: 12 ~ 48h 21 cases, two weeks in 3 cases. mainly associated injuries: rib fractures, blood, pneumothorax and pulmonary contusion .2 cases with large area burns, early after injury were difficulty breathing, chest varying degrees of neck subcutaneous emphysema, chest X-ray chest, neck skin are indications of early pneumoperitoneum, pneumomediastinum, blood pneumothorax, atelectasis, and a typical “sag lung” sign in 12 cases. 1.2 Treatment All 24 cases admitted to hospital after closed thoracic drainage lines, which place the upper and lower six cases of closed thoracic drainage tubes were .24 cases of bronchial repair chest while the lung laceration repair in 9 cases, lobectomy in 3 cases. 1.3 Treatment Results There was no respiratory failure in this group, no deaths, 3 patients 2 months after thoracotomy chest radiograph showed atelectasis bad review, fiberoptic bronchoscopy, see the growth of anastomotic granulation, in-line fiber bronchoscopy teeth burning flesh of lung distension is good. other cases recovered well after surgery, were discharged. All patients were followed for 6 months to 2 years, patients have no discomfort complaints, may conduct a general physical activity, review the chest radiogr