The belly of chest unites the clinic of amalgamating skin of diaphragm and damaging wounded and attends to two _ prevention and health care

The belly of chest unites the clinic of amalgamating skin of diaphragm and damaging wounded and attends to two _ prevention and health care
Postoperative 3 is attended to
3.1 Observe the changes of condition and life physical sign closely Every 15~30min observes physical sign of the life, mind, complexion and expression to change by once, do the kind electricity to guard, pay attention to, have rhythm of the heart to be disorderly, the intersection of belly and positive physical sign, the intersection of shock and sign,etc., have, should report doctor to immediately while being unusual.
3.2 Body posture Anaesthetize before waking up, adopt, lie the location while being flat, the head leans to one side. Wake up, until blood pressure change, lie in the location by half steadily, facilitate the thorax, abdominal cavity guiding, discharge and ooze out the liquid and gas, promote the lung to reply one, the thorax is closed, prevent ones that infected.
3.3 Keep various pipelines unobstructed Prevent twisting, lossing, stopping up, make it in normal function state. Observe, guide the intersection of liquid and quantity, color, property by various, find, guide quantity increase suddenly and property change if thorax guide quantity to be many, color scarlet dense and thick easy to solidify, exceed 300ml per hour, or lasting 3h exceeds 200ml per hour, report to a doctor rapidly.
3.4 The respiratory tract is managed Keep the respiratory tract unobstructed, it is the important measure of preventing the lung from infecting. Pay oxygen intake while being postoperative, encourage deeplying breathe, cough, expectoration. Bad to the whole body situation, it is feasible for the patient of the unable expectoration to suck the phlegm, daily atomization is sucked twice in order to dilute the phlegm liquid, assist, make, carry, arrange phlegm after sucking, promote lung swell, prevent the intersection of lung and piece. While assisting the patient to arrange the phlegm, the palm presents bow-shapedly and knocks and hits patient's back from bottom to top, make the phlegm liquid easy to expectorate, if the patient can not cough, arrange the phlegm, can press the ring and dash for ward the lower total bronchus with the forefinger effectively, the amazing patient coughs, arranges the phlegm effectively. If the patient unable to expectorate the intersection of phlegm and liquid, and phlegm quantity should suck the phlegm in the trachea a long time. Because coughs vigorously, presses and raises in the belly suddenly, cause the skin of diaphragm to mend the place and break and form diaphragm hernia again in order to avoid, the aforesaid operation should be soft. Should encourage the patient go on sport of deeplying breathe while being postoperative, in order to promote the lung to swell, dispel incomplete, prevent from infecting. 3.5 Management of different pipelines Lasting intestines and stomach reduce pressure, can promote the intersection of intestines and stomach and recovery of function, reduce the intersection of abdominal cavity and device to the intersection of diaphragm and pressure of skin, prevent the skin of diaphragm from excessively raising, can promote the healing of crack, it is easy to cough to arrange the phlegm. Want, observe color and person who write of gastric juice closely while being postoperative, guide liquid every day in 300~600mL about generally. Should adjust position of stomach tube guide too little quantity, divide time, develop stomach tube with the intersection of physiological saline and 50mL, guarantee that it is unobstructed to guide. The ones that should keep the thorax closing drainage tube are unobstructed, every 1~2h pushes the drainage tube once, should push cut-outing the near side distally while pushing. Pay attention to guiding the changes of the quality and quantity of the liquid, the color of guiding the liquid normally should be changed light deeply, guide quantity, should reduce gradually, it guides quantity to be scarlet, observe 4h, bleed> 200mL per hour continuously, persons who fail to respond to any medical treatment by the styptic medicine, should consider bleeding for activity, must take other styptic measures in time. Guide and guide the liquid and should be changed in the bottle once every day, quantity should be changed at any time a long time. It should be strict and aseptic to change and guide the whole procedure of the liquid, prevent driving in the wrong direction and infecting. The function of intestines and stomach must be prohibited to eat before resuming. As function of patient's intestines and stomach resumes, the gurgling sound is normal or the rectum is arranged angry, the phenomenon that the patient does not have sick, vomiting, belly one, suffer from abdominal pain, can pull out the stomach tube. Eat and begin from a few liquids, quality and quantity should be increased progressively gradually.
3.6 The psychology is attended to Behind it is steady in condition, it tell condition of him it and not rescue,make it not dispelled misgivings, strengthen the confidence of overcoming disease, cooperate and treat actively, will recover as soon as possible. Pull out thorax, should encourage and assist patient to leave the bed activity and increase activity gradually after the drainage tube, in order to benefit the recovery of the heart and lungs, function of intestines and stomach, promote and cut-out healing. Increase the physique, prevent complication. Activity relies mainly on the fact that the patient does not feel tired.
4 attends to the brief summary The belly of chest unites and shuts the skin of diaphragm to damage the condition critically wounded, should race against time to rescue, observation wants carefully, it should be accurate to diagnose, should improve and rescue success rate in place to attend to in time to deal with.
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