剖胸术

剖胸术后低体温对患者恢复的影响及护理对策

Study of post operation nursing strategy and effect of hypothermia after thoracotomy

剖胸术后下呼吸道菌群变化的分析及护理

Observation on the Flora Changes in Lower Respiratory Tract after Thoracotomy and Nursing

持续肋间神经阻滞对剖胸术后镇痛效果观察

Efficacy of continuous intercostal nerve block on post-thoracotomy pain

静脉与硬膜外病人自控镇痛对剖胸术后应激反应影响的比较

Comparison of the impacts of PCIA vs PCEA on stress response after thoracotomy

结论急诊室剖胸术在救治心脏穿透伤，尤其是濒死型心脏穿透伤患者时有非常重要的价值。

Conclusions ERT was important in treatment of patients with penetrating cardiac injuries .

结论剖胸术后患者测试体温应选择健侧腋窝。

Conclusions The health side should be select to detect axillary temperature after operation .

早期功能锻炼对剖胸术后术侧上肢功能恢复效果的观察

Effect of early functional training on affected side upper limb functional recovery after thoracotomy

急诊室剖胸术救治21例心脏穿透伤分析

Analysis of 21 patients with penetrating cardiac injuries and treated in Emergency Medicine Department with thoracotomy

剖胸术后美蓝肋间神经阻滞镇痛与硬膜外镇痛的比较

Comparison between the effect of intercostal nerve block using methylene blue and that of continuously epidural analgesia after thoracotomy

剖胸术后伤口疼痛剧烈，并伴有肺功能的显著下降，对患者术后康复不利。

What characterized post-thoracotomy pain is that companied by marked decrease in pulmonary function , which negatively affect rehabilitation of the patients .

目的比较美蓝肋间神经阻滞镇痛与硬膜外术后持续镇痛方法对剖胸术后病人的镇痛效果。

Objection : To compare the effect of the two methods , intercostal nerve block using methylene blue and continuously postoperative epidural analgesia .

目的：评价持续肋间神经阻滞对于剖胸术后的镇痛效果。

Objective : To evaluate the efficacy of continuous intercostal nerve block ( CINB ) and patient-controlled analgesia ( PCA ) in controlling post-thoracotomy pain .

结论剖胸术后营养状况与切口感染有密切的相关性，术后合理的营养支持在预防切口感染中有积极的意义。

Conclusions Surgical wound infection had close correlation with nutritional status for the thoracotomy patients . Reasonable nutritional support had active significance to prevent wound infection .

结果：闭式引流术407例，剖胸术11例，非手术治疗12例。

RESULTS : 407 cases were treated with closed thoracic drainage . 11 cases were treated with exploratory thoracotomy and 12 cases were treated with nonoperative methods .

结论胸部受创伤后3周内应定期行胸部X线检查，警惕迟发性血气胸的发生，确诊后应根据病情予对症观察治疗或采取胸穿术、胸腔闭式引流术或剖胸术。

[ Conclusion ] Thorax X-ray check should be done to the thoracic trauma cases within 3 weeks in order to find the delayed hemopneumothorax . Therapy methods include symptomatic treatment and surgical treatment according to the condition of disease .

结果42例患者中，19例采取保守治疗，3例行胸腔穿刺治疗，20例行胸腔闭式引流术，剖胸探查术2例。其中41例治愈，1例死亡。

[ Results ] In 42 cases , symptomatic treatment 19 , thoracentesis 3 , closed thoracic drainage 20 , and thoracotomy 2.There are 41 cured ones and 1 dead .

对37例剖胸手术患者术前及术后第3d痰标本进行细菌培养。

The sputum bacteria culture of 37 patients with thoracotomy was performed before operation , and at the postoperative 3rd day .

结果：四例均经剖胸膈肌修补术治愈。

Result : All of the 4 cases were cured by thoracotomy and diaphragm repair operation .

目的观察剖胸手术后患者术侧与健侧腋温的变化与差异，为确定测温部位及临床病情观察提供准确依据。

Objective To observe the changing and difference of axillary temperature between operation side and health side , then provide acute according to detecting region and clinical condition observation .