摘要
目的 研究纤支镜直视下置放气管支架治疗气管狭窄的护理要点,观察治疗狭窄的近期疗效。方法对采用纤支镜置放气管支架治疗的14例气管狭窄的患者,在治疗中实施相应护理。结果 14例患者在置放气管支架后呼吸困难立即缓解,管腔通畅。追踪观察3个月,其中1例因大咯血窒息,于术后50 d死亡,1例因肺内感染,于术后70 d死亡;余12例呼吸道无狭窄。结论经纤支镜直视下置放气管支架治疗各种原因引起的气管狭窄,方法简单,易行,较为安全,近期效果明显,不但可即刻缓解呼吸困难症状,提高患者的生活质量,并为进一步病因治疗创造了机会。术前加强心理护理,强调充分的术前准备及宣教,术后密切观察生命体征变化,预防并发症,有助于手术的成功及患者的康复。
[ Objective ] To study the nursing and curative effect of tracheal cradle with bronchoscope on treating tracheal constriction. [Methods] 14 patients with tracheal constriction accepted treatment with inner- cavity cradle and nursing during treatment. [Results] 14 patients were released from dyspnea immediately after accepting inner - cavity cradle. 3 months' examination showed that one patient died from hoauily bleeding 50 days after operation; one patient died 70 days after operation from pulmonary inflammation; the rest 12 patients had no tracheal constriction. [ Conclusion ] Tracheal cradle with bronchoscope treatment is proved to be feasible and reliable with significant effect. Psychological nursing before operation will benefit the success of the operation.
出处
《职业与健康》
CAS
2003年第2期159-160,共2页
Occupation and Health