Postoperative hepatocarcinoma observes and attends to _'s treatment

Postoperative hepatocarcinoma observes and attends to _'s treatment
Hepatocarcinoma, behind the operation in the 6 hour, remove pillow, lie location, oxygen intake, the intersection of oxygen and the intersection of flow and 3- 4L rice, 48- 72 hours such as oxygen intake while being flat, connect good abdominal cavity's drainage tube, one pair of sleeve pipes, intestines and stomach and reduce pressure and manage, keep the catheter properly.
One pair of sleeve pipes of abdominal cavity is generally used in the belly operation, the wound surface is great, achieves and oozes liquid more, can guide in time, so as not to cause, continue, send, infect, lead to the fact the diaphragm to down abscess, attend to the main point:
( 1) Keep unobstructed, regulate negative pressure (0.02- 0.06mPa) according to the needs of patient ,Prevent the drainage tube from twisting, pressing, stopping up and lossing;
( 2) Observe and guide liquid color, property and quantity, find abnormality to report, such as exceeding 200ml per hour in time, and the drainage tube is made warm or 8 hours exceed 400ml, should highly suspect it is possible that there is activity to bleed;
( 3) In charge of connecting negative pressure to attract in one pair of sleeve pipes, the overcoat is in charge of showing the skin to cover with the cotton cushion, and sterilize and change every day;
( 4) If the inner sleeve pipe stops up, can wash slowly with 20ml physiological saline, the sleeve pipe in changing under the aseptic condition of the yet unobstructed one;
( 5) Change and guide the bottle, 1 times a day, pour out and guide liquid,etc. and pay attention to operating aseptically;
( 6) The overcoat is in charge of delivering a child and paying attention to the brine 500ml + gentamicin 160,000u, change every day, carries on the washing time of handstand according to the amount of guiding quantity, each order of classes can wash for 1- 2 times the handstand;
( 7) Put the tube for 3- 4 days, for instance, the abdominal cavity guides the liquid color lighter, 24-hour quantity
|