老年患者胸外科手术肺部并发症的早期预防

目的:探讨高龄胸外科手术早期肺部并发症的预防手段。方法:127例70岁以上高龄胸外科手术患者在术前进行心理疏导、控制肺部感染、呼吸锻炼,给予有效咳嗽排痰方法指导,预防术后肺部并发症的发生。结果:术后第1 d患者痰黏滞性显著增高,排痰困难,以后逐渐好转。对术后1~3 d的患者进行有效镇痛、有效祛痰排痰;运用康复外科的理念,加速患者恢复进程。结论:高龄胸外科手术早期肺部并发症的预防非常重要。

Prevention of early stage pulmonary complications in old patients following thoracic surgery

Objective: To explore the preventive measures for early stage pulmonary complications in old patients following thoracic surgery.Methods: We conducted psychotherapy,pulmonary infection control,training in breathing and instructions in expectorating phlegm in 127 old patients(over 70 years) undergoing thoracic surgery.Results: The patients experienced difficult expectoration on the first postoperative day because of increased sputum viscoelasticity,which was gradually improved later.Analgestic and mucokinetic measures produced intended results on the first three postoperative days,with significant improvement of sputum fluidity.And the concept of fast track surgery promoted the recovery of the patients.Conclusion: The preventive measures proved essential for the prevention of early stage pulmonary complications in old patients following thoracic surgery.