Oesophagus cancer nursing target and measure

The ［ nursing target ］
1.Ease worry anxiously;
2.Strengthen nourishment;
3.Decrease or don't Shu happen after the complications;
4.The academic association effectively takes a meal a method.
The ［ nursing measure ］
A, before the Shu nursing
1.The mental nursing patient has already carried on sex to swallow a difficulty, emaciated day by day, is differed by ability to the surgical operation's bearing, lack confidence to the treatment, exist fearing of certain degree to the surgical operation in the meantime mental state.Therefore, the mental appearance that should aim at a patient carries on explanation, consolation and encouragement and builds up protecting of full trust to suffer from a relation, it is exhaustive treatment method to make the patient know surgical operation and make it take pleasure in to have an operation.
2.Strengthening the nourishment can still take a meal, should give liquid substance or half liquid substance food of hot quantity, high egg white and high vitamin.Can not take a meal and drink humidity, electrolyte and calories in response to the vein.The patient of low egg white blood disease, should transfuse blood or the blood plasma egg white give to rectify.
3.The stomach and intestines way prepares
The ① notices an oral hygiene;
The ② settles stomach tube and 12 bowel drops before the Shu the liquid take care of;
The ③ forbids a food before the Shu and there is food accumulating, the Shu evening before last is oozed brine to flush oesophagus with etc. and been advantageous to easing organization dropsy and be infected and fit together a people Lou's incidence rate after lowering Shu;
The ④ draws up to go a colon generation oesophagus, the beard presses the colon surgical operation to prepare a nursing and sees the large intestine cancer preparing before the Shu before the Shu.
4.Practice church patient's deep breathing before the Shu, effective a cough, row the phlegm, bed up has a bowel movement etc. activity.
Two, after the Shu nursing
In addition to observation the life body advertise for etc. normal regulations nursing and return should:
1.Keep stomach and intestines decompression to take care of after the lucid Shu the 24~48 hs lead the run off a little amount blood, should be regarded as normal, such as derivation a great deal of blood should immediately report doctor's processing.The stomach and intestines decompression tube should reserve for 3~5 days, fit together a people's tension by decrease and heal by benefit.Noticing a stomach tube to link is accurate and fix firm and reliable, prevent°from taking off, lead to flow lucid.
2.The close observation chest leads discharge and property chest to lead to flow a liquid if discover abnormality bleed, the turbid liquid, food remnant or milk Mi liquid eject and then hint to have movable sex issue of blood, oesophagus to fit together a people Lou or milk Mi inside the chest chest, should adopt to correspond measure, definitely diagnosis, give a processing.Such as just like stir for 1~3 days after the Shu often in addition to lead to flow a tube.
3.The strict control food oesophagus lacks syrup film layer, so fit together to heal a little bit slowly, Shu behind should strictly forbid a food and forbid water.Forbid a food period, is everyday repaired a liquid by vein.Put 12 bowel drops liquid tube, can in after operation the 2nd day bowel peristalsis instauration after, through pipe drop go into nourishment liquid, lose the amount of liquid at reducing.After operation the 5th days, have no such as the condition special variety, can be taken a meal milk by, each time 60 mls, each time 2 hl time, partition period can give with same quantity boiled water, such as all good reaction, can day by day increase quantity.The Shu changes to have no the residue half liquid substance food the 10~12th days behind, but should notice to prevent°from once taking a meal quick and too many.
4.The observation fits together the clinical performance that a people Lou's symptom oesophagus fits together a people Lou for hot, quick vein, dyspnea, chest acute pain, can not bear with;Suffer from side breath the sound is low, the Kou diagnoses a muddy sound, and the white cell goes up to even take place shock.Handle a principle:①The chest film chamber leads to flow and urges a lung inflation;②The choice effectively antibiotic anti- is infected;③Add enough nourishment and calories.Currently choose complete nourishment(TEN) inside the stomach and intestines more Be built to infuse a food treatment by stomach, the effect is accurate and satisfied.