Closed thoracic drainage is a very important specialist care in the clinical thoracic and cardiac surgery nursing, and is an effective method to treat traumatic; hemothorax, empyema, pneumotborax and spontaneous pneumotborax. Gravity drainage for the principle, it is an important measure for the chest reconstruction, maintaining chest negative pressure, drainage of pleura] effusion and product gas, promoting lung expansion after thoracotomy. Tts purpose is to improve the pleural pressure, so that the gas, blood, fluid can discharge from the pleural cavity, and prevent the reflux, promote lung re-expansion, pleural cavity closed; equilibrium pressure, preventing mediastinal shift and pulmonary pressure. In recent vears, through the closed thoracic drainage in clinical application and nursing countermeasure of development comprehensiveanalysis of information, find that the current closed thoracic drainage device has been greatly improved, can increase the comfort of the patients and reduce trauma and pain. In traditional nursing basis, nursing is more humane and professional.%胸腔闭式引流护理是临床胸心外科极为重要的专科护理,是治疗脓胸、外伤性血胸、气胸、自发性气胸的有效方法.以重力引流为原理,是开胸术后重建、维持胸腔负压、引流胸腔内积气积液,促进肺扩张的重要措施.其目的 是为了更好地改善胸腔负压,使气、血、液从胸膜腔内排出,并预防其反流,促进肺复张、胸膜腔闭合;平衡压力,预防纵隔移位及肺受压.通过对近年来有关胸腔闭式引流临床应用的发展及相关护理对策的文献资料进行综合分析,发现目前胸腔闭式引流装置有了很大改进,可增加患者的舒适、减少创伤及痛苦.护理方面也在传统的护理基础上,更加人性化和专业化.
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