一例多根肋骨骨折切开复位内固定术后的护理体会

摘要

Multiple fractures of multiple ribs can appear "paradoxical respiratory movement", because of the intense pain after injury, the injury to the action of thethoracic stability has been destroyed, so breathing will gradually becomes shallow andspeed, reduce the causes of patients with alveolar ventilation, dare not to cough, then caused the sputum retention in the body, causing lower respiratory tract secretionobstruction, pulmonary infection, pulmonary contusion, resulting in respiratory and circulatory insufficiency, endanger life, the need for closed thoracic drainage and open reduction and internal fixation, care should be mastered strictly standardized sputum suction, closed thoracic drainage.%多根多处肋骨骨折可出现“反常呼吸运动”，因伤后的激烈疼痛、外伤的作用使胸廓稳定性受到了破坏，因而呼吸会逐步变浅且加快，肺泡通气减少，患者不敢咳嗽，继而引起痰液潴留在体内，引起下呼吸道分泌梗阻，肺部感染，肺挫伤，造成呼吸循环功能不全，危及生命，需进行胸腔闭式引流和切开复位内固定术，护理需严格掌握规范吸痰，胸腔闭式引流等…。