Observation of closed thoracic drainage and nursing.doc

 PAGE \* MERGEFORMAT 5 Observation of closed thoracic drainage and nursing [Keywords:] closed thoracic drainage; observation; Care 1 Clinical data Spontaneous pneumothorax is a common acute lung Division One, usually caused by chronic lung diseases such as chronic bronchitis, emphysema, bronchial asthma, fiber cavitary tuberculosis, under certain incentives lead to rupture of alveoli and visceral pleura into the thoracic gas . closed thoracic drainage to be lifted in time the danger and suffering of patients, early lung re-expansion, shortening of treatment. our department in recent years has been using a closed thoracic drainage, 20 patients were cured, 13 cases of male patients in this group, 7 females, the youngest 15 years old, maximum 60 years. 2 observation methods 2.1 The overall serious injury to the chest of patients observed the critical observation of vital signs, spontaneous pneumothorax and more typical of sudden chest pain, one after another irritating cough, chest tightness, shortness of breath, wheezing, difficulty in supine, lying more than hi unaffected. Tension pneumothorax , as a result of rapid, positive minded severe lung compression, and compression mediastinal movement and large blood vessels, often show severe chest pain, and shoulder and forearm radiation, severe breathing difficulties, anxiety, forced to sit, cyanosis a cold sweat , choking sensations, and even respiratory failure, shock and unconsciousness. 2.2 remain closed thoracic drainage tube patency should always pay attention to water-sealed glass bottle fluctuations within the water column, without fluctuation may be due to: folding distortions caused by drainage, drainage tube should be replaced. drain drainage tube lumen, such as blood clots and is necrotic tissue blockage caused by irrigation with saline after disinfection should be strictly prohibited within the rinse water to the chest. Therefore, the lung has re-Zhang, condition improved (4