Patients with chest injury on the special care.doc

 PAGE \* MERGEFORMAT 10 Patients with chest injury on the special care [Abstract] multiple chest injuries due to violence extrusion, collision, fall, falls, blunt blow to the chest sharp injuries or injuries caused by car accidents. Parietal pleura is generally based on whether the perforation, resulting in the pleural cavity and the outside world and is divided into blunt trauma and two types of open injury. Keywords:] chest injury in a special care A chest injury ① prevention of infection: All operations should adhere to aseptic technique to avoid the infection into the pleural cavity, pull over to use when changing bottles wrapped sterile gauze, care to wash their hands before, generally loaded seal bottle disinfectant 500ml. Extubation indications, clear breath sounds in both lungs, no leakage, drainage is less than 24 hours of 50-100ml. Although intrathoracic fluid, product gas, but the chest drainage tube is blocked by a variety of treatment can not restore its drainage function. side of the chest drainage in patients with lung pneumothorax full expansion, breath sounds restoration, pinch more than 24 hours without breathing,. extubation after long points: extubation to observe whether the patient has difficulty breathing, pneumothorax or subcutaneous emphysema, close lid to check the drainage port circumstances, whether to continue exudate, wound exudate immediately replace dressings. ② tamponade care: Nurses should be familiar with clinical manifestations of cardiac tamponade, such as arterial pressure decreased, increased central venous pressure, left atrial pressure decreased urine output decreased, pulse small, odd pulse; jugular vein distention, pale , irritability, difficulty breathing, heartbeat faint, distant heart sounds and light. severely punished, there may be cardiac arrest, CPR should begin immediately. continuous ECG monitoring, a heart rate, abnormal heart rhythm to be in time, observe the required amount of urine p