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目的:探讨CT引导下经皮肺穿刺活检术围手术期的护理及并发症的处理。方法:回顾性分析某三甲医院296例行CT引导下经皮肺穿刺活检术的资料,全部进行术前、术中、术后标准化的围术期护理,严密观察并处理并发症。结果:296例患者成功穿刺295例,并发少量气胸21例,出现咯血痰18例,胸痛13例,胸膜反应1例,未出现血气胸、大咯血等严重并发症。结论:标准化围术期的护理可提高穿刺成功率,减少或预防术中术后并发症。
Objective: To discuss the perioperative nursing and complication treatment of percutaneous pulmonary biopsy guided by CT. Methods: A retrospective analysis of 296 cases in a top three hospital under the guidance of CT guided percutaneous pulmonary biopsy data, all of the preoperative, intraoperative and postoperative standardized perioperative nursing, strict observation and treatment of complications. Results: A total of 296 cases were successfully punctured in 295 cases, with a small amount of pneumothorax in 21 cases. There were 18 cases of hemoptysis sputum, 13 cases of chest pain and 1 case of pleural reaction. No serious complications such as hemothorax and hemoptysis occurred. Conclusion: Standardized perioperative nursing can improve the success rate of puncture and reduce or prevent intraoperative and postoperative complications.