胸腔闭式引流的护理办法(国外英语资料).docVIP

胸腔闭式引流的护理措施(国外英文资料) Whether the water column in the long glass tube fluctuates with the breath, if necessary, ask the patient to take a deep breath or cough. The size of the residues and the size of the negative pressure in the chest. Normal water column fluctuation 4-6cm. Such as water fluctuation, the patient appears short breath, chest tube to the deviation of the contralateral lung compression symptoms, should be suspected drainage tube is clot, need to be managed to squeeze or the use of negative pressure intermittent pumping attract short flow bottle glass tube, prompted the unobstructed, and notify the doctor. The position should be lower than the knee joint and keep the seal in place when the double clamping tube is properly fixed in transit. Observe the flow rate, color, character and water column of the drainage fluid, and record accurately. After the operation, the flow should be less than 80ML/U, and the starting time is hemic, and the color is light red, which is not easy to clot. If the discharge is more, the color is bright red or red, the property is more viscous, easy to coagulate the blood, the suspicion is inside the chest the active hemorrhage. Replace the water bottle daily. Make a mark and record the flow. This is not a daily replacement. 6, pipe processing If drainage tube from chest slip, pinch closed wound in the skin with the hand, immediately after disinfection with vaseline gauze closed wound, to assist the doctor for further treatment. If the connection of the drainage tube is broken, and the flask is damaged, immediately double clamp and closed thoracic wall catheter and replace the whole device with aseptic operation. 7, indications of 48-72 hours after extubation, flow decreased significantly and the color becomes weak, 24 h drainage fluid is less than 50 ml, pus is less than 10 ml, X-ray chest radiograph in lung expansion is good, no leakage, the patient has no difficulty in breathing tube drawing. Method: it is recommended that the