Pulmonary sequestration Perioperative Nursing Care.doc

 PAGE \* MERGEFORMAT 8 Pulmonary sequestration Perioperative Nursing Care Summary of 11 cases of pulmonary sequestration in patients with perioperative nursing experience. Preoperative good psychological care and respiratory care, observe the performance of patients with or without hemoptysis. After close monitoring of vital signs, good respiratory, pain and drainage tube care to guide the limb functional training is the key cases of pulmonary sequestration .11 The surgery was uneventful, proper postoperative care, were cured. Pulmonary sequestration is a congenital malformation, is part of the lung hypoplasia, non-respiratory function, and normal lung separation, and its blood supply from the aorta or its branches. According to whether the integrity of the pleural abnormal tissue and normal lung tissue boundaries are divided into two types: intralobar: lesion and normal lung tissue for the same package the visceral pleura, and its blood supply mostly from the lower thoracic aorta, a few may come from abdominal aorta to the pulmonary vein venous blood is usually returned. Leaf shape: Isolated lung visceral pleura has a separate package. The disease incidence rate is low, the lack of typical clinical presentation, misdiagnosis is high. 2007 -2008 in our department were treated 11 cases of pulmonary sequestration, by operation treatment with satisfactory results 1 clinical data The group of 11 - patients, male and -7, female 4 - patients aged 25-42 years old. Duration of -1 month -2 years, many clinical manifestations of recurrent cough, sputum, hemoptysis, fever, shortness of breath and chest pain Most patients found no significant positive signs, physical examination in some cases can be heard on the affected side and a little wet rales, or reduced breath sounds. preoperative diagnosis in 10 cases, 1 was misdiagnosed as esophageal leiomyoma, the use of patients receiving surgical treatment. surgical methods of lines for the abnormal intralobar pulm