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Nursing Science 2024
1例重症肌无力危象患者行胸腺瘤切除术后拔除气切套管的护理
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Abstract:
总结1例因重症肌无力危象行气管切开患者行胸腺瘤切除术后拔除气切套管的护理。护理要点：控制疼痛的基础上，进行肺康复训练，增强呼吸肌力量，拔除气切套管；预防感染，缓解焦虑及正确识别重症肌无力危象前状态，避免重症肌无力危象的发生。通过积极治疗与围手术期的整体护理，患者术后7天拔除气切套管，康复出院。
To summarize the nursing care of a patient undergoing tracheotomy due to myasthenia gravis crisis who underwent thymoma resection after removing the gas cannula, related key steps were reported in this case report: on the basis of pain control, pulmonary rehabilitation training was carried out to enhance the strength of respiratory muscles and remove the tracheal intubation; prevent infection, relieve anxiety and correctly identify the myasthenic pre-crisis state to avoid the occurrence of myasthenia gravis crisis. After effective treatment and perioperative holistic nursing, the patient removed the tracheal tube 7 days after the operation and was discharged.
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