全胸腔鏡下支氣管袖式成形肺癌切除術患者的護理體會_West China Medical Journal

Authors：

 林琳 ,  袁嵐

四川大學華西醫院胸外科（成都 610041）;

Corresponding?author：

袁嵐, Email: yuanlan68@163.com

Keywords：

胸腔鏡; 支氣管袖式成形術; 護理

DOI：

10.7507/1002-0179.20150439

Video：

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目的總結全胸腔鏡下支氣管袖式成形肺癌切除術患者的圍手術期護理經驗，提出護理體會。方法回顧并總結2010年12月-2012年7月11例全胸腔鏡下支氣管袖式成形肺癌切除術患者的圍手術期護理措施，并觀察術后并發癥發生情況。結果 1例因支氣管胸膜瘺于術后49 d因呼吸道出血死亡，其余10例均順利出院，且隨訪3個月均未發現吻合口狹窄。結論正確的護理干預、醫護一體化的圍手術期管理，可減少術后并發癥的發生，促進患者術后恢復。

Citation： 林琳, 袁嵐. 全胸腔鏡下支氣管袖式成形肺癌切除術患者的護理體會. West China Medical Journal, 2015, 30(8): 1529-1531. doi: 10.7507/1002-0179.20150439 Copy

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12.	林先童. 38例肺切除術后支氣管胸膜瘺臨床治療體會[J]. 醫學理論與實踐, 2015, 28(5):613-614.
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1. Santambrogio L, Cioffi U, De Simone M, et al. Video-assisted sleeve lobectomy for mucoepidermoid carcinoma of the left lower lobar bronchus:a case report[J]. Chest, 2002, 121(2):635-636.
2. Nakanishi K. Video-assisted thoracic surgery lobectomy with bronchoplasty for lung cancer:initial experience and techniques[J]. Ann Thorac Surg, 2007, 84(1):191-195.
3. DeArmond DT, Mahtabifard A, Fuller CB, et al. Photodynamic therapy followed by thoracoscopic sleeve lobectomy for locally advanced lung cancer[J]. Ann Thorac Surg, 2008, 85(5):e24-e26.
4. Kamiyoshihara M, Ibe T, Takeyoshi I. Video-assisted thoracoscopic lobectomy with bronchoplasty for lung cancer:tip regarding bronchial anastomosis[J]. Gen Thorac Cardiovasc Surg, 2008, 56(9):476-478.
5. Mahtabifard A, Fuller CB, Mckenna RJ Jr. Video-assisted thoracic surgery sleeve lobectomy:a case series[J]. Ann Thorac Surg, 2008, 85(2):S729-S732.
6. 劉倫旭, 梅建東, 蒲強, 等. 全胸腔鏡支氣管袖式成形肺癌切除的初步探討[J]. 中國胸心血管外科臨床雜志, 2011, 18(5):387-389.
7. Mei JD, Pu Q, Liao H, et al. Initial experience of video-assisted thoracic surgery left upper sleeve lobectomy for lung cancer:case report and literature review[J]. Thoracic Cancer, 2012, 3(4):348-352.
8. 許寧惠, 曾維渝, 程華, 等. 單向式胸腔鏡肺葉切除術手術配合及護理[J]. 華西醫學, 2010, 25(10):1910-1911.
9. Ma Z, Dong A, Fan J, et al. Does sleeve lobectomy concomitant with or without pulmonary artery reconstruction (double sleeve) have favorable results for non-small cell lung cancer compared with pneumonectomy? A meta-anatysis[J]. Eur J Cardiothorac Surg, 2007, 32(1):20-28.
10. 曹延平, 曹延哲, 閆利霞. 胸腔鏡下治療肺癌的護理體會[J]. 中國實用醫藥, 2012, 7(3):234-235.
11. 陳潔. 電視胸腔鏡右肺上葉支氣管袖式切除術的護理體會[J]. 臨床肺科雜志, 2012, 17(11):2130-2131.
12. 林先童. 38例肺切除術后支氣管胸膜瘺臨床治療體會[J]. 醫學理論與實踐, 2015, 28(5):613-614.
13. 趙秋月, 原紅, 周琨. 肺切除術后支氣管胸膜瘺的危險因素分析及預防護理[J]. 護士進修雜志, 2010, 25(18):1686-1687.

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West China Medical Journal

全胸腔鏡下支氣管袖式成形肺癌切除術患者的護理體會

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