Lung cancer reachs the training that the function breathes after art before patient art

Lung cancer is the malignant tumor with common lung, its main treatment method is operation cure (alobe of the lung or all excision) . Temporary breath often appears after art the function is low and because the operation is traumatic as aching as drainage place, the patient cannot undertake effective deep breathing and cough are discharged phlegmy, can appear lung not piece, the complication such as lung infection and breathing exhaustion.

Lung cancer is the malignant tumor with common lung, its main treatment method is operation cure (alobe of the lung or all excision) . Temporary breath often appears after art the function is low and because the operation is traumatic as aching as drainage place, the patient cannot undertake effective deep breathing and cough are discharged phlegmy, can appear lung not piece, the complication such as lung infection and breathing exhaustion.

One, the training that the function breathes before art and guidance
1, the education before art: Right to smoking history patient explains smoking the harm of health and operation, before art smoke of absolutely give up 1 week. Explain the breath that clear anaesthesia and operation cause reacts, the lie in bed after the appears possibly complication after art and art is inactive the influence to breath, make the patient realizes the value that has breathing a function taking exercise, cooperate actively thereby.

2, directive patient learns deep breathing way, respectively peace of deep breathing of type of seat exercise bosom lies a deep breathing of exercise abdomen type, daily 2, 3, every time 15min left and right sides. Before art 1 week begins to undertake, undertake proper physical training, in order to increase vital capacity.

3, the cough method with effective study, directive patient is deep inspiratory hind, with the bosom abdominal force makes the biggest cough, the voice of cough should shake with bosom and give out, daily exercise 3, control 20 times every time. To the patient the explanation passes effective cough, can prevent lung not piece, lung infection.

4, directive patient has lobar function expansion implement training. This group patient matchs augment of function of a lung to train each implement, training implement on scale can show every time inspiratory tolerance, arouse patient interest easily. Enjoin patient takes seat, lie partly deep expiratory hind the mouth contains augment of join lung function implement larynx mouth, make the biggest inspiratory. Daily time each 1, before art 1 week begins to undertake, the operation paused that day, the 3rd day hind after art but proceed, frequency but do according to one's abilities. Augment of function of the lung before to the patient the explanation adopts method trains implement take exercise, can increase the patient's vital capacity and the biggest tolerance, improve lobar function thereby.

5, have to incorporating chronic bronchitic, emphysema or the patient that lung affects, undertake by doctor's advice spasmolysis is fought phlogistic, if phlegmy fluid is ropy, the person that not easy cough up goes out, give gentamicin 20ml of physiological saline of enzymatic 5mg+ of rotten albumen of 80 thousand U+ , daily 2, 3, give supersonic pulverization inspiratory.

2, the training that the function breathes after art and guidance

1, sufficient analgesia, remove insecurity and loosen muscle: The patient after art often aches because of cut systemic muscle insecurity restricts breath, breath is fast and the table is simple, outside dividing applied analgesia medicaments, can adopt lie partly, pillow of genu transfer to a lower level, maintain a pose comfortable, light light work is moved or massage cervical with shoulder blade ministry in order to eliminate muscle insecurity, make breath holds proper frequency and range. Canal of 15 anaesthesia outside buy putamen staying after the patient uses method entirely is defeated by this group to note demulcent medicine and combine the method that muscle loosens, the breathing frequency of 72h90% patient is 22 ～ 28 times before / Min.

2, the rehabilitation that carries out auxiliary breath activity trains: Oppress with the hand as expiratory movement of the patient pectoral outline, when can making inspiratory bosom outline outspread so, enhance amount of air sucked in aeration and air current rate, what can make bronchus autacoid again is mobile, pectoral outline also but because of move and be not being sent inflexible, promote remaining lung thereby expand.

3, directive breath: This group case of illness all offers breath guidance after anaesthesia is sober, every other 2h undertakes deep breathing 10 ～ 20, smooth lie strengthen abdominal, till till drainage of thorax of 48 ～ 72h the canal pulls out, directive breath is helpful for lobar dilate, improve lung to connect gas function, the acclimation that raises lung quality.

4, assistance discharges phlegmy: Cough reflex is restrained as a result of dope before art, add ache to cannot cough effectively, have long-term smoking especially history person, mean path function is poor, often have thing of respiratory tract retention, phlegmy juice is more, need to assist a platoon phlegmy. The patient takes seat, handlers station bedside, the palm submits a cup of form, knock at dozen of as corresponding as phlegmy place bosom wall, encourage patient cough at the same time, press outline of bosom of the side that press art with both hands palm, inspiratory when both hands is loosened, pressurization of the both hands when cough, in order to protect wound, reduce pectoral wall to shake the cut ache that cause. To the patient with individual faint cough, still can use nose conduit to attract tracheal, exciting generation coughs effectively, with eduction secretion. If afore-mentioned method all disables, respiratory tract secretion of the patient relatively a long time, can use through phlegmy method is being sucked below bronchus fiber lens. This group has 3 senile patients to appear cough is faint, suck via raising lens to fall with fine phlegmy, the result is favorable. Additional, this group patient uses ultrasonic pulverization entirely inspiratory, turn agent of make expectoration easy, spasmolysis agent, antiphlogistic into tiny gas mist with atomizer, as the patient inspiratory and enter respiratory tract, make spirit way humidity appropriate, achieve the effect of make expectoration easy, antiphlogistic, spasmolysis.

5, inchoate motion trains: Inchoate activity can prevent object indigestion the gender is pneumonic reach thrombosis of lower limbs vein, after operation day anaesthesia restores, can coach and assist a patient to begin an activity. Ache because of cut after some patient art or do not wish to move, so, answer to show the necessity that systemic sex function trains adequately, in the exercise inside upper limbs and limits of humeral joint take action, from the 1st day of reinstate after art be good at side handholds is the sit up of bandage proper motion on bed end column, 72h of the 48 ～ after art unplugs can get out of bed after the canal indoors activity.