nasal endoscope and suspension laryngoscopy vocal polyps removed perioperative nursing（鼻内窥镜和悬挂喉镜检查声带息肉切除围手术期护理）.docVIP

Nasal endoscope and suspension laryngoscopy vocal polyps removed perioperative nursing To write papers website: [Keywords:] endoscopic sinus polyp of vocal cord perioperative nursing Vocal cord polyps are more common in 1,3 at the junction before the vocal fold edge, mainly due to sound inappropriate or sound caused by excessive surgery is the only effective way to hospital in March 2010 -2010 December glimpse in the nasal endoscopic support endoscopic OK microscope vocal cord polyp resection a total of 58 cases, after adequate preoperative preparation, careful post-operative care, satisfactory results are reported below. 1 clinical data 1.1 General Information The group of 28 male and 30 females, age 16-65 (mean 35) years of age, duration of 5 months to 10 years, 36 cases of unilateral, bilateral in 22 cases the patients are hoarseness, dysphonia and throat discomfort chief complaint of some patients the vocal cords associated with varying degrees of chronic inflammation in 1 case due to the huge vocal cord polyps, blocking the glottis Ⅰ degree of difficulty in breathing. 1.2 surgical procedures under general anesthesia, intubation anesthesia, 8h fasting before surgery, preoperative 0.5h to give the luminal and atropine intramuscular injection of sedative and reduce respiratory secretions, intravenous anesthetics and muscle relaxants, masks reoxygenation, with a fine anesthetic tube received anesthesia machine via a nasal or oral intubation, ECG monitoring, manual control of breathing. anesthesia after the success of gracefully head position, exposed to the glottis and fixed suspension laryngoscope, about patients who hold 4mm 0 ?or 30 ?nasal endoscope through a suspension laryngoscope into the throat, in the TV imaging system to observe the lesions, including location, size, foundation, clearly distinguish diseased tissue. right hand to hold microlaryngeal scalpel in the lesion and mucosa of normal tissue at the junction of incision, and the