上海交通大学学报（医学版）

›› 2013, Vol. 33 ›› Issue (5): 597-.doi: 10.3969/j.issn.1674-8115.2013.05.017

• 专题报道（临床护理与管理） • 上一篇    下一篇

肺癌术后中心静脉拔管窘迫综合征的护理

冯 竞, 朱 渊, 刘晓芯   

  1. 上海交通大学附属胸科医院特需胸外科, 上海 200030
  • 出版日期:2013-05-28 发布日期:2013-05-28
  • 作者简介:冯 竞（1980—）, 女, 护师； 电子信箱: 33160904@qq.com。

Nursing care of central venous catheter removal distress syndrome after surgery for lung cancer

FENG Jing, ZHU Yuan, LIU Xiao-xin   

  1. Department of Thoracic Surgery Special Medical Services, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 200030, China
  • Online:2013-05-28 Published:2013-05-28

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摘要：

文章报道了1例肺癌术后并发中心静脉拔管窘迫综合征患者的护理过程。中心静脉拔管综合征病死率非常高，医师应采取平卧拔管，拔管时嘱患者摒气、动作轻柔、按压力度适中等措施预防其发生。一旦患者发生中心静脉拔管窘迫综合征，医护人员应引起高度重视，可采取改变患者体位（头低足高位）、保持呼吸道通畅、监测生命体征、观察神志和瞳孔、观察抽搐和抗凝等对症护理，以及转运期间的护理、病情稳定后的功能锻炼和心理护理等相关措施帮助患者尽快脱离危险。

关键词: 肺癌, 中心静脉拔管窘迫综合征, 护理

Abstract:

This paper reports the nursing care process of one case of central venous catheter removal distress syndrome after surgery for lung cancer. The mortality rate of central venous catheter removal distress syndrome is extremely high. Patients should take supine position and breath holding, and physicians should take gentle movements to prevent the occurrence. In case of central venous catheter removal distress syndrome, great attention should be paid by medical staff. The body position of patients should be changed to Trendelenburg position, the airway patency should be maintained, the vital signs should be monitored, the consciousness and pupil observation should be conducted, the convulsions and anticoagulation nursing should be carried out, the nursing care during transportation should be adopted, and the functional exercise and psychological nursing during stable disease condition should be performed to help the patients out of danger as soon as possible.

Key words: lung cancer, central venous catheter removal distress syndrome, nursing care