胸外科疾病觀察要點(diǎn)及護(hù)理課件整理

夢(mèng)想會(huì)成真A胸外科疾病觀察要點(diǎn)2019年2月茆紅娟EvaluationonlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL夢(mèng)1Pulmonaryarteriesandveins胸腔內(nèi)的重要臟器DACiaeEvaluationonly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLPulmonaryarteriesandveins2胸腔是心臟肺等重要臟器所在位,胸部的損傷會(huì)導(dǎo)致呼吸和循環(huán)功能障礙,嚴(yán)重者危急生命。所以應(yīng)密切觀察患者的病情變化,及時(shí)給予救治和精心護(hù)理Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL胸腔是心臟肺等重要臟器所在位,3胸外傷(血?dú)庑?患者觀察要點(diǎn)經(jīng)胸食管賁門癌肺癌患者的觀察要點(diǎn)Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL胸外傷(血?dú)庑?患者觀察要點(diǎn)4急性痛苦病容零呼吸困難疼痛被迫半臥位或端坐臥位Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL急性痛苦5胸外傷患者的觀察要點(diǎn)及護(hù)理1呼吸癥狀;觀察患者的呼吸型態(tài)呼吸頻率節(jié)律,有無(wú)胸悶氣促呼吸困難咳嗽咳血等,保持呼吸道通暢,及時(shí)清除異物,給予鼻塞或面罩吸氧。觀察血氧飽和度,及時(shí)調(diào)節(jié)氧氣流量,監(jiān)測(cè)動(dòng)脈血?dú)庖栽u(píng)價(jià)吸氧效果。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL胸外傷患者的觀察要點(diǎn)及護(hù)理6對(duì)于極度呼吸困難的患者(如閉合性大量液氣胸張力性氣胸開(kāi)放性氣胸)護(hù)士在給予吸氧的同時(shí)要積極協(xié)助醫(yī)生穿刺抽出積氣積液或行胸腔閉式引流術(shù),盡快減輕胸膜腔內(nèi)的壓力;對(duì)開(kāi)放性氣胸者要協(xié)助醫(yī)生變開(kāi)放性為閉合性,同時(shí)還要準(zhǔn)備氣管插管或氣切用物。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL對(duì)于極度呼吸困難的患者(如閉合7張力性氣胸穿刺圖胸腔閉式引流管排氣圖Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL張力性氣胸穿刺圖8胸腔積液引流管引流袋2~3cm胸腔積液引流示意圖Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL胸腔積液9胸外傷患者的觀察要點(diǎn)及護(hù)理2嚴(yán)密觀察患者的生命體征神志面色胸部體征和胸腔閉式引流的量和性質(zhì),維持呼吸循環(huán)功能當(dāng)發(fā)生低血容量性休克時(shí),迅速建立2-3條靜脈通路,并在中心靜脈壓得監(jiān)測(cè)下補(bǔ)充血容量Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL胸外傷患者的觀察要點(diǎn)及護(hù)理10胸外科疾病觀察要點(diǎn)及護(hù)理課件整理11胸外科疾病觀察要點(diǎn)及護(hù)理課件整理12胸外科疾病觀察要點(diǎn)及護(hù)理課件整理13胸外科疾病觀察要點(diǎn)及護(hù)理課件整理14胸外科疾病觀察要點(diǎn)及護(hù)理課件整理15胸外科疾病觀察要點(diǎn)及護(hù)理課件整理16胸外科疾病觀察要點(diǎn)及護(hù)理課件整理17胸外科疾病觀察要點(diǎn)及護(hù)理課件整理18胸外科疾病觀察要點(diǎn)及護(hù)理課件整理19胸外科疾病觀察要點(diǎn)及護(hù)理課件整理20胸外科疾病觀察要點(diǎn)及護(hù)理課件整理21胸外科疾病觀察要點(diǎn)及護(hù)理課件整理22胸外科疾病觀察