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纤维支气管镜检查及护理_ppt课件

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纤维 支气管 检查 护理 _ppt 课件
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单击此处编辑母版标题样式 单击此处编辑母版副标题样式纤维支气管镜 检查术及护理 2012年7月25日 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 纤支镜检查的适应症 咯血 咳嗽 局限性哮鸣 痰细胞学检查阳性 痰中找到癌细胞 肺 部末端找到病变者 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 纤支镜检查的适应症 临床表现或X线检查怀疑肺癌病者 已诊为中央型肺癌想了解病变累及范围 而采取相应方法者 肺叶切除后仍有反复咳嗽及咯血者 要 检查了解是否手术处有线头 异物 并发 或是肺癌复发所致 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 纤支镜检查的适应症 肺叶切除后仍有反复咳嗽及咯血者 了解持续气管插管患者拔管后情况 以及气管切开后长期留置气管套管 者 应定期镜检查以了解气管粘膜 损伤情况 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 纤支镜检查的适应症 肺活检 取分泌物做培养 支气管肺泡灌洗 进行细胞学检查 肺不张或中叶综合症 替代胸腔镜对胸腔疾患进行检查 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 中叶综合症 中叶综合征 middlelunglobesyndrome 又称Brock综 合征或Graham Burford Mayer综合征 是指由于支气管受管外肿大淋巴结的 压迫阻塞 引起右肺中叶 或左肺舌叶 肺不张肺叶缩小或并炎症实变 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 纤支镜治疗的适应症 摘取异物 清除气道分泌物 经纤支镜作支气管抽吸及冲洗并局 部注射抗生素以治疗肺部及气道感 染性 中叶综合症的治疗 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 纤支镜治疗的适应症 替代胸腔镜进入胸腔内 对胸腔内出血 可用电刀烧灼治疗 经纤支镜用高频电刀治疗气管支气管良 性及恶性肿瘤 治疗气管支气管内膜结核 气管支气管内病变致使出血者可用高频 电刀烧灼止血 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 纤支镜治疗的适应症 对肺泡细胞癌可向支气管肺泡内灌注药 物治疗 用纤支镜引导经鼻腔进行气管插管术 通过纤支镜对危重病人置放胃管 通过纤支镜激光治疗气道恶性阻塞 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 纤支镜治疗的适应症 用纤支镜对鼻咽癌局部注射抗癌药 物加上放射治疗治疗后复发的病人 鼻咽病灶处注射抗癌药物 置放支架 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 纤支镜检查的禁忌症 一般情况极差 体质十分虚弱者 严重心血管疾病 严重呼吸系疾病 凝血机制异常者 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 纤支镜检查的并发症 喉 气管或支气管痉挛 出血 气胸 缺氧 发钳 术前用药不慎 可抑制呼吸致死 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 纤支镜检查的并发症 发热 细胞刷或活检钳折断脱落 心跳骤停 麻醉药过量或过敏 严重者可致死 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 操操 作作 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 术前准备 向病人解释目的 配合事项 查血小板和出血 凝血时间 胸片 心电图 血气分析 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 环境准备 环境清洁 无尘 室温不低于200C Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 医务人员准备 洗手 带口罩 带帽子 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 病人准备 术前4h禁食 禁饮 前半小时肌注阿托品 口服地西泮 静注50 葡萄糖 检查开 始前嘱病人排空大小便 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 物品准备 纤维支气管镜 吸引器 冷光源 活检钳 细胞刷 喉头喷雾器 麻醉药 镇静药 抢 救药及物品 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 三通装置三通装置 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 三通装置三通装置 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 三通装置三通装置 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 麻 醉 2 利多卡因喷雾麻醉咽喉部 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 协助摆体位 去枕仰卧位 头部后仰 肩部垫一软枕 下颌略抬高 不能平卧者 可取坐位或半 坐位 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 从鼻插入 从口插入 插入纤支镜 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 纤支镜 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 配合经纤支镜滴入麻醉剂 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 活检钳 手持活检钳 作好标本采集工作 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 拔出纤支镜 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 整理用物 记录 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 护护 理理 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 术中 术后密切观察呼吸道出血情况 注 意观察病人有无发热 声嘶或咽喉疼痛 胸痛等不适症状 观察病情 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 饮食护理 术后禁食 禁饮2h 2h后试饮水无呛咳 时 方可进温凉流质或半流质饮食 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 气道护理 鼓励病人轻轻咳出痰 液和血液 如有声嘶 或咽喉疼痛 可给雾 化吸入 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial
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