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yxfbbiedtj · Wysłany: Nie 23:39, 20 Mar 2011

Severe Guillain-Barre syndrome in patients with mechanical ventilation weaning nursing research

Development. Journal of Nursing, 2007,42 (1): 73_74.6 Zhou Meng Li. COPD patients after. Mechanical ventilation after ventilator treatment and physical exercise guidance. Rehabilitation, 2003,18 (6): 378. Laparoscopic cholecystectomy and the surgical experience with Ye Jianxin Chen Chen Liu Xianling Abstract Objective To summarize the laparoscopic cholecystectomy (referred to as LC) with the surgery and nursing. Methods 208 cases of LC were preoperative routine visits to the work,[link widoczny dla zalogowanych], understand the patient's condition, the health education and promotion work into each patient and preoperative preparation and operation of medical equipment in line with the treatment methods were applied to each LC go. Results 208 patients were all successfully implemented the LC technique, patients recovered well and discharged. Conclusion The preoperative visit on the implementation of work can deepen the relationship between nurses and patients, eliminating the patient's tension and enhanced the confidence to overcome the disease, and promote early recovery of patients. Since a variety of medical equipment before surgery sufficient preparation and operation of health care close coordination between the improved quality of operation. Key words Gallbladder; Laparoscopy; operative cooperation; care; experience cholecystitis, cholelithiasis, biliary diseases are common, often accompanied by intermittent right upper quadrant colic, nausea, vomiting, abdominal distension and anorexia and other symptoms, serious Patients who can affect quality of life and health. The past, suffering from gallbladder disease are usually treated with open surgery, due to surgical trauma, recovery slower and more complications, has been gradually replaced by LC patients. LC surgery with less trauma, quicker recovery, shorter hospital stay and fewer complications, patients easily accepted and recognized. I worked this year, 208 hospital patients with gallbladder disease, implementation of the LC technique, have achieved good effect,[link widoczny dla zalogowanych], now with the surgery and nursing are described below. The clinical data of 1 208 cases of this group of patients, male 63, female 145 cases, aged 28-74 years. Were 127 cases of chronic cholecystitis, gallbladder polyps, 24 cases of chronic cholecystitis with gallbladder stones in 57 patients. All patients completed surgery under general anesthesia, except in 9 patients because of severe adhesion with surrounding tissue to give LC surgery to open surgery, the other caught the success of surgery. 2 2.1 preoperative preparation before surgery 1 day before surgery missionary, traveling nurses, patients routine visit to understand the patient's condition and mental condition to learn more about surgical options. And let patients know turpentine must use a cotton swab before surgery umbilical hole cleaning dirt, then wash with soapy water. Explain to patients the basic procedures of the surgery, and surgical considerations that may happen. At the same time, you can also have done a successful surgery case of LC introduced to the patient, or you have had surgery in patients prepared for surgery patients to talk about feelings and experiences after surgery to eliminate the tension and fear in patients, and establish the confidence to overcome the disease and actively cooperate with medical treatment. 2.2 Item prepared to need surgery,[link widoczny dla zalogowanych], for carbon dioxide cylinders, all from the Author: Central Hospital of Xinxiang, Henan 453000 Fixed carbon dioxide gas, abdominal machines operating room, monitors, cold light source, camera lens, and suction devices. Instruments are: 11mm needle taper, sheath 2, 6mm needle cone sheath 2, 10mm converter 2, coagulation hook a high cutting,[link widoczny dla zalogowanych], grasping forceps 2 teeth, pulling clamp 1, cut an endoscope , titanium clamp 1, gallbladder taken a large grasping forceps, wash and rinse suction tube a bottle 1. 2.3 The equipment sterilization of medical equipment used in our hospital days for the exchange of medical endoscope disinfection machine, and configure special disinfectant to sterilize processing equipment. The aircraft disinfection methods can effectively kill the identified bacteria, Bacillus and hepatitis viruses, can effectively prevent cross infection. 3 operating with the required 3.1 surgical anesthesia LC established pneumoperitoneum of carbon dioxide, so that a greater impact on the physiology of patients, it is often used endotracheal intubation general anesthesia + control respiration. 3.2 The operation is usually supine position, if necessary, with the first high-pin low, the bed shaking high 1O. , Tilted to the left 1O to 15. To facilitate adequate exposure of the gallbladder and the surgical field. 3.3 Operation 3.3.1 with conventional surgical drape of skin disinfection surgeon, the surgical field exposure for the ladder line, shop four surgical towels, one hole above the shop laparoscopy. Drape is completed, again with 75% alcohol disinfection of the umbilicus and surrounding skin. 3.3.2 Connect the wiring and piping in order to wash their hands of nurses frequency electric knife, electric coagulation wire, carbon dioxide fixation in laparoscopic upper connecting pipe hole one on the left strap; the cold light wire, cable laparoscopic camera system, flushing laparoscopic suction tube fixed on the top right side of tape on a single hole, gave the bottom Nurse pneumoperitoneum were connected to the mechanical, electrical condenser,[link widoczny dla zalogowanych], cold light source machine, camera surveillance and the suction device on. Finally, open the equipment switch.