It influences the prognosis that the postoperative detail is dealt with
Refined professor of department of general surgery of hospital of Hunan of middle and southern university Lu XinSheng
Surgery is the important means to treat. But operation anaesthetize, have wound nature, can cause patient should defy, react while being a series of. The surgeon should pay attention to the correct technical operation of the operation, as well as pay attention to various questions initiated by disease, operation and anaesthesia.
Stage begins to totally recover after the patient leaves hospital when the operation finishes after the operation. The purpose of the operation aftertreatment is to perform the operation and should surge reflecting to minimise as much as possible, make the patient's physiology and psychological condition basically normal, in order to the recovery of guaranteeing a smooth postoperative patienting. The centre point of the operation aftertreatment is to prevent operation complication one, find in early days and deal with complication in time and reduce emergence and danger of complication as much as possible.
It is a centre point to defend complication
Complication includes complication that may take place after all kinds of operations and special complication correlated to operation way after the operation. The surgeon should understand it in an all-round way, and take the effective precautionary measures.
In fact the prevention of complication begins with ShuQian, should find in time and deal with various compatible disease and dangerous factor of bringing out complication actively after performing the operation. Demand to smoke and give up smoking for 6 weeks before patient's skill, can make the complication incidence of postoperative lung reduce from 50% to 10%. The patient who takes aspirin, stop medicines for 10~14 days before the skill, in order to improve the blood coagulation function, prevent from skill neutralize, bleed while being postoperative. Instruct the patient how to train the essential breathing function and as meeting the exercise of the postoperative change, including practising defecation and urination, and correct cough, arranging the phlegm method,etc. on the bed. Intervene the psychology, dispel patient's fear of performing the operation, avoid tense and anxious mood.
Rigorously enforce operation indication, is chosen the correct operation way, improve and anaesthetize and ease pain; Adopt and achieve the scientific and technological skill outside in the skill a little, treat every step operation carefully conscientiously, reduce and bleed in the skill, adopt " restricted fluid infusion " ,Try not to transfuse blood or transfuse blood few; Strengthen the warm-keeping to the patient in the operation, maintain the normal body temperature in the skill. It is all of great importance that the above prevents the postoperative complication correctly.
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