肺癌术后肺动脉栓塞的护理体会

目的:探讨肺癌病人开胸术后发生肺动脉栓塞的护理体会,提高护理水平。方法:回顾性分析725例肺癌开胸手术患者的临床资料,发生13例肺动脉栓塞(1.78%)提出除一般肺癌术后的护理外,严密观察病情变化,做好心理护理,溶栓、抗凝治疗的监测,出血性并发症的自我观察、预防及出院指导。结果:13例患者中死亡7例,存活6例康复出院。结论:对肺癌术后肺动脉栓塞患者早发现、早诊断、及时治疗、围手术期精心护理,可提高治愈率,减少死亡率。

The nursing of postoperative pulmonary embolism in lung cancer

Objective To elucidate the nursing experience of postoperative pulmonary embolism in lung cancer. Method The clinical data of 725 cases of lung cancer with thoracotomy was retrospectively analyzed. There were 13 cases with pulmonary embolism. The nursing included observation of illness, psychologic nursing, monitoring of thrombolysis and anticoagulation, prevention of bleeding complication and inpatient guidance. Results 6 cases recovered and 7 cases died. Conclusion Early detection, early diagnosis, timely treatment and perioperative nursing could improve the rate of cure and reduce the mortality rate.