首页出版说明中文期刊中文图书环宇英文官网付款页面

肺空洞继发曲霉菌感染的治疗及围手术期护理

黄 琼辉, 蓝 惠娥, 郭 晶晶
中山大学孙逸仙纪念医院 广东广州

摘要


目的:探讨肺空洞继发曲霉菌感染患者的外科治疗和围手术期各种并发症的观察及护理方法;方法:回顾性分析广州市胸科医院2016年1月至2018年12月接受外科治疗的共91例肺曲霉菌病患者,观察其围手术期的一般状况及术后并发症,及时采取有效综合护理措施;结果:91例患者均完成手术,无术中死亡病例。术后有2例患者分别因肺部感染和大出血、多脏器功能衰竭而死亡,其余89名患者经有效的治疗及全程综合护理干预,均顺利康复出院;结论:肺空洞合并曲霉菌感染,手术为有效的治疗方法。但手术难度大、风险高,围手术期并发症明显高于其他肺部手术。对患者进行有效的全程护理干预,有助于增强患者信心、取得患者信任及配合、减少术后并发症、促进患者恢复。

关键词


肺空洞,曲霉菌感染,围手术期,护理

全文:

PDF


参考


[1]Park CK,Jheon S.Resuhs of surgical treatment for pulmonary aspetgilloma.Ear J Cardiothorac Surg,2002,21:918—923. [2]马念芳,石英,孟瑞芹.肺结核空洞并曲霉菌病误诊分析 中国误诊学杂志,2002,2(7):1016-1017. [3]唐煜东, 梅小丽, 郑娥, 等. 胸部肿瘤术后患者不良情绪现状及影响因素分析. 中国胸心血管外科临床杂志, 2018, 25(1): 67-70. [4]郭晶晶,陈穗,黄晓强.尿激酶治疗胸膜剥脱术后早期凝固性血胸的疗效分析[J].岭南现代临床外科,2019, 19(2):207-210. [5]Bhatt NR, Sheridan G, Connolly M, et al. Postoperative exercise training is associated with reduced respiratory infection rates and early discharge: A case-control study. Surgeon, 2017, 15(3): 139-146.) [6]Mans CM, Reeve JC, Elkins MR. Postoperative outcomes following preoperative inspiratory muscle training in patients undergoing cardiothoracic or upper abdominal surgery: a systematic review and meta analysis. Clin Rehabil, 2015. 29(5): p. 426-38. [7]Park CK,Jheon S.Resuhs of surgical treatment for pulmonary aspetgilloma.Ear J Cardiothorac Surg,2002,21:918—923. 906—912. [8]Chen QK,Jang GN,Ding JA.Surgical treatment for pulmonary aspergilloma:a 35-year experience in the Chinese population.Interrac Cardiovasc Thrac Surg,2012,15(1):77—80. [9]Yang CK, Teng A, Lee DY. Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis. J Surg Res, 2015, 198(2): 441-449. [10]Members of the Working Party, Nightingale CE, Margarson MP1,Shearer E, et al. Peri-operative management of the obese surgical patient 2015 Association of Anaesthetists of Great Britain and Ireland Society for Obesity and Bariatric Anesthesia. Anaesthesia, 2015, 70(7): 859-876.




DOI: http://dx.doi.org/10.18686/yxyj.v1i6.4576

Refbacks

  • 当前没有refback。