Rib fracture with pneumothorax nursing blood.doc

 PAGE \* MERGEFORMAT 9 Rib fracture with pneumothorax nursing blood [Keywords:] rib fractures; hemopneumothorax; Care Rib fracture with pneumothorax, the chest of blood the most common acute injury is one of chest pain, chest tightness, coughing, difficulty breathing as the clinical features, complicated by shock, acute respiratory distress syndrome, acute pulmonary edema and even life-threatening .2007 December ~ November 2009, the Court rib fracture were treated blood pneumothorax in 126 cases, now its nursing are described below. 1 Clinical data 1.1 General information collected in our hospital in December 2007 ~ November 2009, rib fracture with pneumothorax in patients with blood in 126 cases, male 96 cases, 30 females, aged 25 to 82 years, mean age 43 years; 72 cases of pneumothorax combined, blood of 36 patients with combined chest and blood in 14 cases complicated with pneumothorax, 4 cases of hemorrhagic shock, 18 patients with pulmonary contusion, 10 cases of combined complex injuries. 1.2 after treatment of 126 patients the right time to rescue and care, both in a relatively short period of time to cure, treatment, care and results were satisfactory, the average length of stay 18d, 3 months after the follow-up bone healed without complication. 2 Care 2.1 Patients admitted to hospital emergency care to take a half sitting and lying position, braking, immediately given oxygen, rapid establishment of intravenous access and other anti-shock treatment. On hemopneumothorax who promptly closed thoracic drainage, open pneumothorax by using sterile such as Vaseline gauze pad plus cover the wound, and then fixed tape or bandage to form a closed pneumothorax, and then exhaust decompression or thoracic drainage. for closed thoracic drainage, drainage of blood pneumothorax were not more than one 800mL to prevent the sudden drop in intrathoracic pressure, there mediastinal swing, stimulate the vagus nerve, causing cardiac arrest.