The nursing of tumor resection inside the Lu matches with

The tumor inside the Lu presses occurrence part to is divided into two major types:A type of is tumor inside the brain, almost take up half of the tumor in the Lu, the great majority originates the gum quality cell lump of nerve gum quality, is a kind of malignant tumor.Another is tumor outside the brain, the great majority is a benign tumor.Sufferer in my hospital regards tumor inside the brain as principle and presents malignant tumor more.Clinical performance it is thus clear that patient Lu inside press to increase Gao and tumor occurrence cooking stove symptom in the part bureau, such as whole body or parts of sex epilepsies go into action;Consciousness obstacle;Carry on sex sport function obstacle;Carry on sex appeal to feel an obstacle;The function obstacle of each brain nerve;Cerebellum symptom etc..It is basic treatment method to open Lu surgical operation to cut off tumor.The close match of the Shu, assistant and surgical operation nurse and sufferers then can make the surgical operation completed smoothly.
1.Clinical data:From 2000-2003 years, my hospital does to open Lu surgical operation 479 for sufferer of tumor inside the Lu.
2.Prepare before the Shu
2.1 before the Shus sufferer of mental prepare a day before the Shu, visiting nurse and apparatus the nurse goes to the noodles circumstance of the everyone of sickroom understanding sufferer together.Sufferer's the great majority have already had nervous system symptom, so easily produce worry anxiously, nervous emotion, pick a date the sufferer of surgical operation to fear surgical operation, and worry to appear surgical operation accident but cause disable and sick, even death.We should cautiously explain in detail the match and purpose of surgical operation to the sufferer and get rid of the mental state of fearing of sufferer and make it correct to treat surgical operation and strengthen confidence, with the good mental state, match with surgical operation and nursing on one's own initiative, the to build up sufferer's trust to the surgical operation nurse, in order to obtain satisfied surgical operation effect.
2.2 surgical operation apparatuses prepare to square away the normal regulations brain section apparatus and check the electricity knife that surgical operation uses and draw on if the machine is normal.If there is problem, handle in time.Open a Lu usage when the spirit drill nitrogen needed annoys in advance have like.Check spirit to drill an each parts and double pole electricity Ning and head, carry on a day in advance smoked steam disinfection.
The preparation,such as the brain cotton slice, silver, of 2.3 special things and drugs clips, clear gum sponge, bone La, stop bleeding gauze and celebrate a big mildewed vegetable etc..(have already celebrated the big mildewed plain allergic history and not to use)
2.4 surgical operation dressings wrap and the preparing of operating room normal regulations brain the section wrap a , the gauze is 40 pieces of, the bandage is 2.The surgical operation should choose an instrument equipments well-found, the area spacious surgical operation.Wipes product surface, wall and ground for a day before the Shu.Use ultraviolet ray to project light upon 2 for each sooner or later, the indoor temperature keeps in 22 ℃ ~24 ℃ , the degree of humidity is 40%~60%.
2.5 others prepare to put to put the sponge mat, and sand bag...etc. that the body is used.
3.The nursing in Shu matches with
3.1 apparatus the nurse match with important point
3.1.1 strict according to have no germ operation request, open have no the germ wrap, Shu in the product needed such as:Double pole electricity the Ning and surgical operation stick a film and draw on the apparatus, a time of silk thread, bone wax and alcohol cotton ball and microscope cover, 20 mls to inject a machine 2, without germ's losing a liquid machine is placed to surgical operation on the stage.
Before 3.1.2 surgical operations start, drill spirit conjunction well combine fix in the surgical operation on the stage.Ready to skin of head to clip while cutting open skin of head and bone wax, stop bleeding in time.
3.1.3 after opening Lu, the Lu bone temporarily dismantling is placed to have no germ physiology brine to soak and use again while closing Lu.
3.1.4 matches celebrate plain 80,000 unitses of big mildeweds so much+500 milliliters in physiology brine Be absorbed to 20 milliliters of inject a machine in, flush surgical operation part at any time.According to the surgical operation circumstance shears the size that the good Shu needs don't wait of brain cotton slice, and with visiting nurse a little bit pure brain cotton slice and gauze amount, in order to prevent stay in the Lu.Wipe clean double of poles electricity Ning with the wet gauze at any time the blood stain on the head, in order to prevent the influence stop bleeding.
Want to keep surgical operation wild in 3.1.5 Shus, apparatus tray and apparatus pedestal of clean and neat, clean, the Yi has a pollution to immediately replace and delivers apparatus to have to be active, nimble and accurate.
3.1.6 pass Lus, again and visiting nurse, surgical operation doctor common little bit pure brain cotton slice, gauze and sew needle.
3.2 visiting nurses' match important points
3.2.1 sufferers after going into the operating room press the that the surgical operation notification checks name, sex and bed number, age and disease first, hospitalized number, the check has have no false teeth, and jewel...etc..
The 3.2.2 matches anaesthesia doctor induces to the medicine and checks a medicine in the meantime.
3.2.3 after inducing to the medicine, put urine to take care of, as far as possible reduce the sufferer's pain and sufferings.
3.2.4 press the surgical operation to need to put the good sufferer's body, keep liquid drop to go into smoothly.
3.2.5 accurate record hands protect a record list, conjunction various instrument needed by surgical operation, adjust light arrive the best appearance.The Zun cures Zhu, while opening Lu, the drop goes into to stop bleeding medicine and rapid drop to go into 20% sweet dew Chuns.
Provide the product that surgical operation on the stage needs in time in 3.2.6 Shus, work well to meet an emergency preparation, at any time match salvage, keep the indoor to sweep, clean and neat, notice indoor temperature to regulate, firmly stand by a work post.
A little bit pure use thing, brain cotton in 3.2.7 Shus of slice and gauze, help a Shu to dress a wound.
3.2.8 Shus finish, patient awake and the whole life bodies advertise for steady after, together the anaesthetist send back sufferer's safety advanced case guardianship room.The Shu juniors goes with visit, make use of to raise his/her own work quality in the feedback information.
4.The match realizes
4.1 visit to see before the Shus, pass confabulation, ease or get rid of a sufferer to fear mental state.
4.2 have no germ idea strong, have to have the sense of responsibility of height.
4.3 apparatus the nurse and Shu match with tacit understanding, the surgical operation step wants to attain to know farely well.
4.4 visiting nurses want a tight observation condition to change and keep each to lead to flow to take care of lucid, supply the product that on the stage needs in time, with anaesthesia the doctor closely match with.
4.5 prevention Shus are infected behind, before the Shu operating room and various use a thing to strictly put out germ.
4.6 before the Shu, Shu in, the Shu want hard a little bit pure apparatus, dressing and sew needle behind, and work well a record.
Each parts that 4.7 spirits drill wants elaboration to maintain and lightly takes to lightly put, can not be put to water in, keep dry.
On the Zong say, visit to see before the Shu, understand sufferer's circumstance and surgical operation project, work well to use the full preparation of product in the surgical operation;Closely match with with doctor in the Shu, can ensure surgical operation smoothly over achievement.