What should be done after pneumonectomy

summary

Recently, I felt very uncomfortable, so I went to the hospital for a detailed examination. Then the doctor told me that there was something wrong with my bronchus, so I need to use pneumonectomy for treatment. Let's talk about what should be done after pneumonectomy.

What should be done after pneumonectomy

First, patients should lie on their back until they are fully awake and their blood pressure is stable (generally more than 6 hours after operation) before they can change to half sitting position. After anesthesia, the patient should be encouraged to do deep breathing exercise and expectoration; the incision site can also be pressed by hand to help the patient breathe deeply and expectoration, 5 ∼ 6 times a day, to remove the endobronchial sputum and possible residual hemoptysis, so as to facilitate lung expansion and thoracic drainage, and avoid secondary infection in the lung.

Second: the problem of oxygen inhalation. After pneumonectomy, if the patient has no anoxia, it is unnecessary to give oxygen. For patients with poor pulmonary function, intermittent low flow oxygen can be given through nasal tube. When giving oxygen, the catheter should be inserted into the nasopharynx, so that oxygen can be effectively inhaled. Sometimes the patient has a lot of phlegm, which is sticky and difficult to produce, seriously affecting the breathing.

The third is the treatment of residual lung expansion and residual cavity. After partial resection of the lung, the residual cavity in the thoracic cavity will be filled by the residual lung with excessive expansion (i.e. compensatory emphysema). However, if there is inflammation and fibrosis in the remaining lung, it is not easy to expand excessively, so that the residual cavity cannot be eliminated; and the air in the residual cavity will be gradually absorbed by the pleura, forming a high negative pressure, which makes the pleura continuously infiltrate, providing conditions for the formation of bronchopleural fistula and secondary empyema.

matters needing attention

In the doctor's advice and accompanied by his family to carry out this operation, so before the operation to do the corresponding examination, postoperative care and recovery is also very important, also poor related content, let oneself have a bottom in mind.