Perioperative nursing of patients with post-thoracotomy atelectasis treated with bronchoalveolar lavage combined with pulmonary insufflation
10.3969/j.issn.1671-8283.2013.09.014
- VernacularTitle:支气管肺泡灌洗联合肺吹气治疗开胸术后肺不张的围术期护理
- Author:
Min WANG
;
Li LIU
;
Jiudi ZHONG
- Publication Type:Journal Article
- Keywords:
bronchoscopy;
bronchoalveolar lavage;
pulmonary insufflation;
pulmonary atelectasis;
perioperative nursing
- From:
Modern Clinical Nursing
2013;(9):46-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the perioperative nursing of patients with post-thoracotomy atelectasis treated with bronchoalveolar lavage combined with pulmonary insufflation.Methods Before operation,the nursing measures included the full preoperative preparation,full anesthesia and mental care.During the operation,the nursing focused on intensified monitoring,close cooperation with doctors in manipulation of bronchoalveolar lavage and pulmonary insufflation.After operation,the postoperative nursing was performed.Results The lung recruitments were successful in all the 12 patients.Compared to pre-operation,the arterial oxygen saturation(SaO2)and arterial oxygen partial pressure(PaO2)6 hours after treatment were significantly improved(P<0.05) while the CO2 partial pressure(PaCO2)was significantly decreased(P<0.05).There were no severe complications and no recurrence of pulmonary atelectasis.All the patients were successfully discharged.Conclusions The bronchoalveolar lavage combined with pulmonary insufflation is effective in treating post-thoracotomy atelectasis.To ensure the smooth treatment,perioperative nursing is also contributive.
