腔镜下食管癌根治术的围手术期护理惯例(国外英文资料).docVIP

腔镜下食管癌根治术的围手术期护理常规(国外英文资料) The perioperative care routine of esophageal cancer radical in the endoscope Preoperative preparation Psychological care. Full trust through communication with the patient and family members, to establish the relationship between nurses and patients, for patients and their families to understand thoracoscope esophagus cancer radical operation method and its advantages compared with conventional surgery, operation reliability and the possible problems, introduces the successful cases of thoracoscope esophagus cancer radical at the same time, the enhancement confidence, to eliminate the worries of the patients with heart and fear, disease patients to cooperate. The airway preparation. With video-assisted thoracoscope surgery adopts double lumen endotracheal intubation general anesthesia, single lung ventilation, bilateral alveolar atrophy, long time of single lung ventilation prone to atelectasis and hypoxemia, particularly in elderly patients, chest pain, dare not cough, sputum, after removal of respiratory secretions ability declined obviously, therefore, the purification of the preoperative respiratory tract and respiratory function exercise, to improve lung function, prevention of postoperative complications is extremely important. We take the normal blood gas analysis, pulmonary function monitoring, understand the patients vital capacity, guide patients to make effective cough and deep breathing training: smokers to quit smoking for more than 2 weeks, is beneficial to the recovery of bronchial cilia movement; Treating people with respiratory infections and applying antibiotics; Follow the doctors order to give inhalation. Correct malnutrition. Patients with geriatric esophageal cancer are difficult to eat because of the difficulty of eating With the same level of malnutrition, people who can eat are given high calorie, high protein, high vitamins, easy to digest liquid or semi-liquid diet. For patients who can not eat for a long time,