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脊柱術後卧位

發布時間:2020-03-26 04:58:31

1、腰椎骨折患者術後麻醉未清醒時採取什麼卧位

腰椎骨折患者術後,麻醉未清醒,最好採取平卧位。

2、腰麻術後取什麼卧位

去枕平卧頭偏向一側

3、術後絕對平卧位的目的

正確答案為:A選項
答案解析:術後護士為患者採取平卧位,腘窩部墊枕,可減輕腹部張力,不僅可以減輕切口疼痛,也可促進傷口癒合。

4、腰麻硬膜外麻手術後應採取什麼卧位

腰麻後採取去枕平卧位6小時。硬膜外麻醉後平卧,可去枕,也可不去枕。

5、總結術後注意事項英語短文

1) keep good body position after the operation.After surgery, patients in general, small surgery
Back to the original ward, and major surgery or surgical critically ill patients, is sent to the hospital after surgery
(care) or viewing room, patients with general anesthesia, has not been awake at this time, should lay down
, no cushion pillow, head to one side, in case of inhalation of respiratory tract, vomit saliva or cause
Respiratory infections.Patients with lumbar hemp or epiral anesthesia, postoperative to lay down 6 ~ 12 hours,
To prevent the occurrence of postoperative headache.After cervical, thoracic and abdominal surgery, take half sitting or more
Recumbent position.After spinal surgery patients, want to sleep hard bed.Limbs of patients after the operation, it should be
Raise body or traction of the surgery.

(2) to assist the staff to observe temperature, pulse, respiration and blood pressure.If there is a self
Feeling unwell, fever and heart beat faster, etc., shall be reported to the doctors and nurses.Here to tell
You a bit of common sense, 3 ~ 5 days postoperatively, temperature in 38 ℃ or so, this is inevitable.
Name or postoperative reaction heat, absorption of heat, this need not nervous.

(3) strengthen the diet to cooperate.After the operation, to strengthen nutrition, help the body recover.
General surgery, can eat, postoperative patients with abdominal surgery, intestinal peristalsis recovery
, virtual objects (that is, fart), before liquid liquid diets;Gastrointestinal surgery patients,
For gastrointestinal decompression, and at the same time should be fast, and stops gastrointestinal decompression to into the liquid diets, with
Slowly returning to normal after eating;Many major surgery or after general anesthesia operation, short term
Function decline, and don't want to eat, even nausea, vomiting, infusion may be required.serious
, the doctor will insert gastric tube, through the tube into the liquid diets.

(4) to assist medical staff strict management of postoperative wound.Don't touch, don't follow
To uncover the gauze covering the wound, more can't use hand to touch or water to clean the wound, to
Keep the wound clean and dry.As we are not careful to wet or polluted the gauze, please
Doctors and nurses to give change, in case of incision infection fester.If discover the wound around the redness and swelling
Or have blood flow out, should be timely told the doctors and nurses, and to give timely and properly handle
.

(5) to early postoperative activities.According to the size of the surgery and the postoperative condition in classics
A doctor allowed condition, strive for early ambulation.This to increase deep breathing
, promote the blood circulation and restore gastrointestinal function, increase appetite, is very good;for
To prevent complications and promote wound healing, also has a positive role.Such as abdominal surgery,
General 2 ~ 3 days after bed should be appropriate and bed activities, in order to prevent abdominal distension
And intestinal adhesion.Patients with phlegm, should turn over more, with the hand pressure wound, assist the cough
Row of phlegm, lung infection in case.Obese patients limbs should be more activities to prevent venous thrombosis
Into.

Take out stitches (6) to grasp the best time.Postoperative incision take out stitches of time, according to the hand
Different parts of the decision.General surgery, take out stitches in 5 to 7 days;Lower abdomen,
Perineal operation take out stitches of time may be extended appropriately;The abdomen, chest, back and hip after 7 ~ 9
Take out stitches day;Take out stitches limbs after 10 to 12 days, joints and their adjacent surgery, postoperative
Take out stitches 14 days relatively appropriate;Full-thickness skin graft, should take out stitches in 12 ~ 14 days after;
Old, weak, anemia or have complications, take out stitches should be appropriately extended time.

(7) other considerations.Some patients after surgery, not used to urinate in bed, or as a result
Lumbar hemp after micturition reflex obstacles, work out urinate.Therefore, the postoperative take a long time
Bed, preoperative should practice to urinate in bed.If the condition allows, can assist the patient to sit
, kneeling or standing micturition, also can take abdomen hot compress, silver needle, such as way to help
Micturition.If the above measures ineffective, postoperative 8 to 12 hours, still cannot discharge of urine, should please
Urethral catheterization.On postoperative body with all kinds of catheter, attention should be paid to maintain its smooth, prevent
Catheter folding, jam, or fall off.Postoperative body resistance is relatively low, should pay attention to keep warm
To prevent a cold.Outpatient surgery patients, postoperative to a rest in the clinic, and to cure
Take out stitches inquire assessment, treatment and time, went to the hospital to visit and receive treatment in time.Out of the
Take out stitches after school, such as found after mouth burst, bleeding or when severe pain, should be to immediately
The hospital inspection and processing.
1)保持術後的良好體位。手術後,一般中、小手術的病人
即送回原來的病室,而大手術或危重手術病人,則送到術後病室
(監護室或觀察室),全身麻醉的病人,此時尚未清醒,應平卧
,不墊枕頭,頭偏向一側,以防唾液或嘔吐物吸入呼吸道,引起
呼吸道感染。硬膜外麻醉或腰麻的病人,術後要平卧6~12小時,
以防術後頭痛的發生。頸、胸、腹部手術之後,多採取半坐或半
卧位。脊柱手術後的病人,要睡硬板床。四肢手術後的病人,須
抬高手術的肢體或進行牽引。

(2)協助醫護人員觀察體溫、脈搏、呼吸和血壓。如有自我
感覺不適、發熱和心跳快等,應向醫生、護士報告。這里要告訴
您一點常識,術後3~5天內,體溫常在38℃左右,這是必然的,
叫術後反應熱,或吸收熱,對此不必緊張。

(3)加強飲食配合。手術後要加強營養,以利於身體康復。
一般的手術,術後即可進食,腹部手術的病人,要待腸蠕動恢復
、產生虛恭(即放屁)後,方可進液狀流食;胃腸手術的病人,
先進行胃腸減壓,同時應禁食,停止胃腸減壓後才能進流食,以
後慢慢恢復到正常飲食;大手術或全身麻醉手術後,多有短期消
化功能減退,不想吃飯,甚至惡心、嘔吐,可以要求輸液。嚴重
時,醫生會插胃管,通過胃管注入流食。

(4)協助醫護人員嚴格術後的傷口管理。不要亂動,不要隨
意揭開覆蓋傷口的紗布,更不能用手去觸摸或用水清洗傷口,要
保持傷口的清潔和乾燥。如自己不小心弄濕或污染了紗布,應請
求醫生護士給予更換,以防切口感染化膿。如發現傷口周圍紅腫
或有血水流出,應及時告訴醫生護士,爭取給予及時妥善的處理


(5)術後要早期活動。根據手術的大小和術後的病情,在經
過醫生准許的條件下,爭取早期下床活動。這對於增加呼吸深度
,促進血液循環,恢復胃腸功能,增進食慾,都十分有利;對於
防止並發症,促進傷口癒合,也有著積極的作用。如腹部手術,
一般術後2~3天就應該適當下床活動或作床上活動,以防止腹脹
和腸粘連。痰多的病人,應多翻身,並用手壓住傷口,協助咳嗽
排痰,以防肺部感染。肥胖病人應多活動四肢,防止靜脈血栓形
成。

(6)掌握拆線的最佳時間。術後切口的拆線時間,要根據手
術部位的不同而決定。一般手術,於術後5~7天拆線;下腹部、
會陰部手術的拆線時間適當延長;上腹、胸、背及臀部術後7~9
天拆線;四肢術後10~12天拆線,關節及其附近的手術,於術後
14天拆線較為適宜;全層皮膚移植術,應於術後12~14天拆線;
年老、體弱、貧血或有並發症者,應適當延長拆線時間。

(7)其他注意事項。有的病人手術後不習慣卧床小便,或因
腰麻後排尿反射障礙,解不出小便。因此,對術後需要較長時間
卧床者,術前就應練習卧床小便。如果病情充許,可協助病人坐
起,跪著或站著排尿,還可以採取腹部熱敷,扎銀針等辦法協助
排尿。如果上述措施無效,術後8~12小時仍不能排出小便,應請
求導尿。對術後身上所帶的各種導管,要注意保持其通暢,防止
導管折疊、堵塞或脫落。術後身體抵抗力相對較低,應注意保暖
,防止感冒。門診手術的病人,術後要在門診休息片刻,並向醫
生問明復診、換葯和拆線時間,按時去醫院復診並接受處置。出
院後,如發現拆線後的術口崩裂、出血或劇烈疼痛時,應立即到
醫院進行檢查和處理。

6、臂部手術後應取什麼體位

全身麻醉尚未清醒的病人,應平卧、頭轉向一側,使口腔內分泌物或嘔吐物易於流出,避免吸入氣管。蛛網膜下腔麻醉病人,亦應平卧或頭低卧位12小時,以防止因腦脊液外滲而致頭痛。
全身麻醉清醒後、蛛網膜下腔麻醉12小時後、硬脊膜外腔麻醉、局部麻醉等病人,可根據手術需要安置卧式。施行顱腦手術後,如無休克或昏迷,可取15~30。頭高腳低斜坡卧位。
施行頸、胸手術後,多採用高半坐卧位,便於呼吸及有效引流。腹部手術後,多取低半坐位卧式或斜坡卧位,以減少腹壁張力。
脊柱或臀部手術後,可採用俯卧或仰卧位。腹腔內有污染的病人,在病情許可情況下,盡早改為半坐位或頭高腳低位。肥胖病人可取側卧位,有利於呼吸和靜脈迴流。

7、腹部手術後半卧位的作用是什麼

因闌尾炎、膽石症等進行腹部手術的病人,在術後應採取上半身抬高30~45度半卧位,但有的病人因半卧位不舒服而不願配合。殊不知,腹部術後採用半卧位是保證病人早日康復的重要措施。 腹腔表面和腹壁各有一層腹膜保護腹腔臟器,並分泌漿液以潤滑腹腔,減少內臟活動時接觸面之間的摩擦。腹膜對液體和微小顆粒又有較大吸附能力,尤其是對液體的吸收。 根據腹膜這一特點,病人腹部術後採用半卧位,首先可使腹腔內手術後的滲血、滲液或膿液下流,最後局限在盆腔,可縮小腹膜與滲血、滲液或膿液的接觸面積,從而減少對細菌、毒素的吸收,避免感染擴散。即使形成盆腔膿腫,也便於處理。其次,因重力作用,部分血液滯留在下肢和盆腔內,靜脈回心量減少,可減輕肺部瘀血和心臟負擔。第三,半卧位使膈肌下降,肺的呼吸量增加,既有助於改善呼吸功能,又有助於咳嗽、咳痰,使呼吸道內分泌物或消化道內的嘔吐物排除,不至於吸入肺內而引起吸入性肺炎。 此外,闌尾炎等腹部手術病人術後取半卧位,還能減輕手術部位的充血和水腫,降低腹部切口的張力,減輕刀口疼痛,有利於引流以及切口的早日癒合。

8、從解剖學方面解釋腹部術後為什麼半卧位?

術後,腹膜腔內還會殘存一些膿性物或沖洗液,術後引流管一般都放在最低點,就是盆腔,半卧位有利於引流;盆腔腹膜的吸收能力是最強的,即使不能完全引流出來,吸收也是很快的。

9、腰麻術後為什麼卧位

預防頭痛固然重要,但局部知覺近乎喪失,任何活動都易致意外發生,故應取卧位。

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