腰椎骨折患者术后,麻醉未清醒,最好采取平卧位。
2、腰麻术后取什么卧位
去枕平卧头偏向一侧
3、术后绝对平卧位的目的
正确答案为:A选项
答案解析:术后护士为患者采取平卧位,腘窝部垫枕,可减轻腹部张力,不仅可以减轻切口疼痛,也可促进伤口愈合。
4、腰麻硬膜外麻手术后应采取什么卧位
腰麻后采取去枕平卧位6小时。硬膜外麻醉后平卧,可去枕,也可不去枕。
5、总结术后注意事项英语短文
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)保持术后的良好体位。手术后,一般中、小手术的病人
即送回原来的病室,而大手术或危重手术病人,则送到术后病室
(监护室或观察室),全身麻醉的病人,此时尚未清醒,应平卧
,不垫枕头,头偏向一侧,以防唾液或呕吐物吸入呼吸道,引起
呼吸道感染。硬膜外麻醉或腰麻的病人,术后要平卧6~12小时,
以防术后头痛的发生。颈、胸、腹部手术之后,多采取半坐或半
卧位。脊柱手术后的病人,要睡硬板床。四肢手术后的病人,须
抬高手术的肢体或进行牵引。
(2)协助医护人员观察体温、脉搏、呼吸和血压。如有自我
感觉不适、发热和心跳快等,应向医生、护士报告。这里要告诉
您一点常识,术后3~5天内,体温常在38℃左右,这是必然的,
叫术后反应热,或吸收热,对此不必紧张。
(3)加强饮食配合。手术后要加强营养,以利于身体康复。
一般的手术,术后即可进食,腹部手术的病人,要待肠蠕动恢复
、产生虚恭(即放屁)后,方可进液状流食;胃肠手术的病人,
先进行胃肠减压,同时应禁食,停止胃肠减压后才能进流食,以
后慢慢恢复到正常饮食;大手术或全身麻醉手术后,多有短期消
化功能减退,不想吃饭,甚至恶心、呕吐,可以要求输液。严重
时,医生会插胃管,通过胃管注入流食。
(4)协助医护人员严格术后的伤口管理。不要乱动,不要随
意揭开覆盖伤口的纱布,更不能用手去触摸或用水清洗伤口,要
保持伤口的清洁和干燥。如自己不小心弄湿或污染了纱布,应请
求医生护士给予更换,以防切口感染化脓。如发现伤口周围红肿
或有血水流出,应及时告诉医生护士,争取给予及时妥善的处理
。
(5)术后要早期活动。根据手术的大小和术后的病情,在经
过医生准许的条件下,争取早期下床活动。这对于增加呼吸深度
,促进血液循环,恢复胃肠功能,增进食欲,都十分有利;对于
防止并发症,促进伤口愈合,也有着积极的作用。如腹部手术,
一般术后2~3天就应该适当下床活动或作床上活动,以防止腹胀
和肠粘连。痰多的病人,应多翻身,并用手压住伤口,协助咳嗽
排痰,以防肺部感染。肥胖病人应多活动四肢,防止静脉血栓形
成。
(6)掌握拆线的最佳时间。术后切口的拆线时间,要根据手
术部位的不同而决定。一般手术,于术后5~7天拆线;下腹部、
会阴部手术的拆线时间适当延长;上腹、胸、背及臀部术后7~9
天拆线;四肢术后10~12天拆线,关节及其附近的手术,于术后
14天拆线较为适宜;全层皮肤移植术,应于术后12~14天拆线;
年老、体弱、贫血或有并发症者,应适当延长拆线时间。
(7)其他注意事项。有的病人手术后不习惯卧床小便,或因
腰麻后排尿反射障碍,解不出小便。因此,对术后需要较长时间
卧床者,术前就应练习卧床小便。如果病情充许,可协助病人坐
起,跪着或站着排尿,还可以采取腹部热敷,扎银针等办法协助
排尿。如果上述措施无效,术后8~12小时仍不能排出小便,应请
求导尿。对术后身上所带的各种导管,要注意保持其通畅,防止
导管折叠、堵塞或脱落。术后身体抵抗力相对较低,应注意保暖
,防止感冒。门诊手术的病人,术后要在门诊休息片刻,并向医
生问明复诊、换药和拆线时间,按时去医院复诊并接受处置。出
院后,如发现拆线后的术口崩裂、出血或剧烈疼痛时,应立即到
医院进行检查和处理。
6、臂部手术后应取什么体位
全身麻醉尚未清醒的病人,应平卧、头转向一侧,使口腔内分泌物或呕吐物易于流出,避免吸入气管。蛛网膜下腔麻醉病人,亦应平卧或头低卧位12小时,以防止因脑脊液外渗而致头痛。
全身麻醉清醒后、蛛网膜下腔麻醉12小时后、硬脊膜外腔麻醉、局部麻醉等病人,可根据手术需要安置卧式。施行颅脑手术后,如无休克或昏迷,可取15~30。头高脚低斜坡卧位。
施行颈、胸手术后,多采用高半坐卧位,便于呼吸及有效引流。腹部手术后,多取低半坐位卧式或斜坡卧位,以减少腹壁张力。
脊柱或臀部手术后,可采用俯卧或仰卧位。腹腔内有污染的病人,在病情许可情况下,尽早改为半坐位或头高脚低位。肥胖病人可取侧卧位,有利于呼吸和静脉回流。
7、腹部手术后半卧位的作用是什么
因阑尾炎、胆石症等进行腹部手术的病人,在术后应采取上半身抬高30~45度半卧位,但有的病人因半卧位不舒服而不愿配合。殊不知,腹部术后采用半卧位是保证病人早日康复的重要措施。 腹腔表面和腹壁各有一层腹膜保护腹腔脏器,并分泌浆液以润滑腹腔,减少内脏活动时接触面之间的摩擦。腹膜对液体和微小颗粒又有较大吸附能力,尤其是对液体的吸收。 根据腹膜这一特点,病人腹部术后采用半卧位,首先可使腹腔内手术后的渗血、渗液或脓液下流,最后局限在盆腔,可缩小腹膜与渗血、渗液或脓液的接触面积,从而减少对细菌、毒素的吸收,避免感染扩散。即使形成盆腔脓肿,也便于处理。其次,因重力作用,部分血液滞留在下肢和盆腔内,静脉回心量减少,可减轻肺部瘀血和心脏负担。第三,半卧位使膈肌下降,肺的呼吸量增加,既有助于改善呼吸功能,又有助于咳嗽、咳痰,使呼吸道内分泌物或消化道内的呕吐物排除,不至于吸入肺内而引起吸入性肺炎。 此外,阑尾炎等腹部手术病人术后取半卧位,还能减轻手术部位的充血和水肿,降低腹部切口的张力,减轻刀口疼痛,有利于引流以及切口的早日愈合。
8、从解剖学方面解释腹部术后为什么半卧位?
术后,腹膜腔内还会残存一些脓性物或冲洗液,术后引流管一般都放在最低点,就是盆腔,半卧位有利于引流;盆腔腹膜的吸收能力是最强的,即使不能完全引流出来,吸收也是很快的。
9、腰麻术后为什么卧位
预防头痛固然重要,但局部知觉近乎丧失,任何活动都易致意外发生,故应取卧位。