Postoperative anesthesia care and expectoration of patients with pulmonary infection.doc

 PAGE \* MERGEFORMAT 9 Postoperative anesthesia care and expectoration of patients with pulmonary infection Author: Shu-Fang Zhao Zhao Shuling Qiao-Ling Zhao Keywords anesthesia surgery; lung infection; expectoration; Care Patients with pulmonary infection after general anesthesia for open heart surgery, the elderly up to see, but also one of the main operative mortality of older persons. Degenerative changes in immune function in elderly people with respiratory decline in susceptibility to increased [1], so that lung infection and continued a long time. Combined with anesthesia, surgical interference with the elderly ‘heart, lung reserve capacity’ to further reduce, but a lung infection occurs easily cause respiratory failure and heart function. We have to help expectoration in patients with pulmonary infection receive care and good results are reported as follows. A clinical data Our department from March 2001 ~ March 2005 under general anesthesia 1080 cases of various types of surgery. 49 cases of pulmonary infection occurs, the incidence rate of 4.5% (49/1080). Age of onset at 60 to 92 elderly people between the ages of 44 cases, male 38 cases, female 6 cases. Thoracotomy 45 cases (not including the lung, lobectomy), abdominal surgery, 4 cases tracheotomy in 6 patients, of which 2 patients died of respiratory failure, 2 cases of heart failure-induced death, the remaining 45 patients were discharged improved. 2 nursing 2.1 dilution of sputum respiratory humidifier Postoperative oxygen to sustain. As the role of oxygen, respiratory mucosa dry, crusted secretions dried up. Through the humidifier can be diluted sputum, enhance mucociliary movement to make easy discharge of sputum. Methods: The ultrasonic aerosol inhalation. ① When inhaled Note Depending on the patient’s response modifier fog volume size, for the confusion, asthenia in patients with cough and severe shortness of breath should be guarded with me, close observation of their breathing and i