On the bronchiectasis patients undergoing lobectomy with care.docVIP

 PAGE \* MERGEFORMAT 11 On the bronchiectasis patients undergoing lobectomy with care [Paper Keywords] Bronchiectasis; surgery with the [Abstract] bronchiectasis (bronchiectasis) is due to bronchial wall and surrounding inflammatory destruction of lung tissue caused by one or more of the root of bronchial abnormalities, permanent expansion of the chronic respiratory diseases. Patients with longer duration, pain large decline in quality of life, extreme, surgical resection of the lung disease is the main method of treatment of bronchiectasis. Because patients with poor lung function, chest severe adhesion, surgical wound large amount of bleeding more difficult for relatively complex operations. Therefore requested the operating room nurses will not only be familiar with the characteristics of the disease, but also have the skilled nursing skills so as to enhance operation with the quality and reduce the incidence of surgical complications. Our hospital in June 2004 ~ September 2007 on the implementation of the 10 cases of surgical treatment in patients with bronchiectasis, surgery goes well, relieved pain for patients. By preoperative and intraoperative visits careful coordination so that patients in order to stabilize the mentality of security through the operation period, now nursing coverage is as follows: A clinical data June 2004 ~ September 2007, a total of 10 cases of surgical treatment for patients with bronchiectasis, in which 4 males and 6 females, aged 33 ~ 55 years of age; bronchiectasis history of 4 to 15 years; the average operation time was 2.0 ~ 3.5 h; intraoperative blood loss 200 ~ 1 500 ml. Two surgical Preoperative diagnosis of left lung lower lobe expansion in seven cases, two cases of expansion of left lung upper lobe, right lung lower lobe 1 case; will do the corresponding lobectomy. 3 Preoperative preparations 3.1 psychological preparation Bronchiectasis in