CT引导下经皮肺穿刺活检术并发症的观察与护理分析
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摘要
目的:观察CT引导下经皮肺穿刺活检术并发症,并制定相应的护理策略。方法:本次选取的研究对象为2017年10月—2018年12月行CT引导下经皮肺穿刺活检术患者60人,对其临床资料进行回顾分析。术前做好心理辅导与手术准备,术中配合医生操作,监测生命体征,术后对患者的生命体征、并发症密切观察,并做好相应的护理策略。结果:穿刺手术后,12人伴有气胸、9人伴有咯血、1人伴有胸腔少量积血、2人伴有胸膜反应,没有发生严重血气胸、空气栓塞等并发症。结论:临床使用CT引导下经皮肺穿刺活检术诊断肺部疾病时,虽然具有一定的有效性、安全性,但是容易产生并发症。因此,应做好术前准备工作、术中监测工作、术后预防工作,从而降低术后并发症的发生率。
Objective To observe the complications of CT-guided percutaneous lung biopsy,and formulate corresponding nursing strategies. Methods 60 patients by CT-guided percutaneous lung biopsy from October 2017 to December 2018 were enrolled in the study.Psychological counseling and surgical preparation were be done before operation;We will work with the doctor, monitor patients' vital signs, closely observe complications after operation, and do a corresponding nursing strategy.Results 12 patients were accompanied by pneumothorax, 9 with hemoptysis, 1 with a small amount of blood in the chest cavity, and 2 with pleural reactions. No complications such as Serious haemothorax and air embolism occurred. Conclusion CT-guided percutaneous lung biopsy is effective and safely in diagnosis of pulmonary disease, but it is prone to complications.Therefore, preoperative preparation, intraoperative monitoring and post-operative prevention should be done to reduce the incidence of postoperative complications.
Objective To observe the complications of CT-guided percutaneous lung biopsy,and formulate corresponding nursing strategies. Methods 60 patients by CT-guided percutaneous lung biopsy from October 2017 to December 2018 were enrolled in the study.Psychological counseling and surgical preparation were be done before operation;We will work with the doctor, monitor patients' vital signs, closely observe complications after operation, and do a corresponding nursing strategy.Results 12 patients were accompanied by pneumothorax, 9 with hemoptysis, 1 with a small amount of blood in the chest cavity, and 2 with pleural reactions. No complications such as Serious haemothorax and air embolism occurred. Conclusion CT-guided percutaneous lung biopsy is effective and safely in diagnosis of pulmonary disease, but it is prone to complications.Therefore, preoperative preparation, intraoperative monitoring and post-operative prevention should be done to reduce the incidence of postoperative complications.
引文
[1]董秀平.CT引导下经皮肺穿刺活检术后并发症的影响因素及护理对策[J].中国实用医药,2017,12(21):57-58.
[2]罗艳,杨相梅.某三甲医院296例CT引导下经皮肺穿刺活检术围手术期的护理及并发症的处理[J].重庆医科大学学报,2017,3(22):370-372.
[3]段飞燕.CT引导下经皮肺穿刺活检术后并发症及其护理[J].实用临床医学,2018,19(07):265-266.
[4]黄国会,胡莎莎,刘小敏,等.围手术期护理在CT引导下经皮肺穿刺活检术中的应用[J].中国社区医师,2017,12(04):155-157.
[5]李进梅,贾永娣,耿金凤,等.CT引导下经皮肺穿刺活检术后的护理体会[J].世界最新医学信息文摘,2017,37(29):117-118.
[6]邱培,陈桂枝,谭小波,等.CT引导经皮肺穿刺活体组织检查术效果及术后并发症的观察护理[J].华西医学,2017,1(12):73-76.
[7]刘学.CT引导下经皮穿刺活检在脊柱感染病变诊断中的应用价值分析[J].影像研究与医学应用,2018,08(18):104-106.
[8]郭凤华.CT引导下经皮穿刺活检术对胸部肿瘤的诊断价值[J].中国保健营养,2017,27(4):144-145.
[9]吉喆,郭福新,姜玉良,等.3D打印共面模板辅助CT引导下经皮肺穿刺活检技术的临床应用[J].癌症进展,2018,25(09):173-174.
[10]耿雷.CT引导下经皮肺穿刺活检术并发症的影响因素分析[J].中国医药指南,2017,14(20):377-379.
[11]李峰,骆世兵,孙刚,等.CT引导下经皮肺穿刺活检的临床应用及其并发症影响因素[J].临床医药文献电子杂志,2017,45(19):362-364.
[12]杨永革,王燕文,冯剑秋,等.多层螺旋CT引导下经皮肺穿刺活检并发症的观察及护理效果[J].检验医学与临床,2017,12(08):108-110.
[13]刘世合,于华龙,付青,等.CT引导下经皮肺穿刺活检并发体循环空气栓塞的危险因素[J].中国介入影像与治疗学,2018,15(10):17-21.
[2]罗艳,杨相梅.某三甲医院296例CT引导下经皮肺穿刺活检术围手术期的护理及并发症的处理[J].重庆医科大学学报,2017,3(22):370-372.
[3]段飞燕.CT引导下经皮肺穿刺活检术后并发症及其护理[J].实用临床医学,2018,19(07):265-266.
[4]黄国会,胡莎莎,刘小敏,等.围手术期护理在CT引导下经皮肺穿刺活检术中的应用[J].中国社区医师,2017,12(04):155-157.
[5]李进梅,贾永娣,耿金凤,等.CT引导下经皮肺穿刺活检术后的护理体会[J].世界最新医学信息文摘,2017,37(29):117-118.
[6]邱培,陈桂枝,谭小波,等.CT引导经皮肺穿刺活体组织检查术效果及术后并发症的观察护理[J].华西医学,2017,1(12):73-76.
[7]刘学.CT引导下经皮穿刺活检在脊柱感染病变诊断中的应用价值分析[J].影像研究与医学应用,2018,08(18):104-106.
[8]郭凤华.CT引导下经皮穿刺活检术对胸部肿瘤的诊断价值[J].中国保健营养,2017,27(4):144-145.
[9]吉喆,郭福新,姜玉良,等.3D打印共面模板辅助CT引导下经皮肺穿刺活检技术的临床应用[J].癌症进展,2018,25(09):173-174.
[10]耿雷.CT引导下经皮肺穿刺活检术并发症的影响因素分析[J].中国医药指南,2017,14(20):377-379.
[11]李峰,骆世兵,孙刚,等.CT引导下经皮肺穿刺活检的临床应用及其并发症影响因素[J].临床医药文献电子杂志,2017,45(19):362-364.
[12]杨永革,王燕文,冯剑秋,等.多层螺旋CT引导下经皮肺穿刺活检并发症的观察及护理效果[J].检验医学与临床,2017,12(08):108-110.
[13]刘世合,于华龙,付青,等.CT引导下经皮肺穿刺活检并发体循环空气栓塞的危险因素[J].中国介入影像与治疗学,2018,15(10):17-21.