How does esophagus cancer have phlegmy to do after operation?

summary

How does esophagus cancer have phlegmy to do after operation? Esophageal cancer itself is a more troublesome situation, if you have to treat it is certainly very good, but if there is sputum after surgery, what should we do? Let's take a look.

How does esophagus cancer have phlegmy to do after operation?

First, oxygen should be given to the patient according to the routine. The secretions in the mouth, throat and trachea should be removed in time before the general anesthesia is awake. After the general anesthesia is awake, the patient should take the semi reclining position to rest, and often change the position. Explain the importance of sputum after the operation to the patient, and encourage him to take deep breathing frequently

Second: when the patient coughs and expectorates hard, the medical staff can gently press the patient's wound with both hands to reduce the pain. In case of superficial breathing caused by wound pain and dare not cough, or even reflexive bronchospasm caused by secretions accumulation and hypoxia, analgesics should be given to maintain normal respiratory movement and facilitate effective expectoration.

Third: when phlegm is sticky and difficult to cough up, drugs or aerosol inhalation can be used to eliminate phlegm and inflammation. At the same time, the chest wall was patted to vibrate the sputum adhering to the bronchiole wall, so that it moved to the large bronchus and was easy to discharge

matters needing attention

(1) The soft suction tube should be selected for oral and nasal suction, the negative pressure should not be too large, and the suction time should not exceed 15s, otherwise it is easy to cause hypoxia and mucosal damage. When there is a lot of sputum, attention should be paid to increasing the frequency of suction, but not increasing the time of each suction. The second suction should be performed after one suction and full oxygen inhalation（ 2) Use fiberoptic bronchoscope to suck sputum under local mucous membrane anesthesia beside the bed. Before and between the sputum suction, give the patient sufficient oxygen, find the obstruction site, and after the secretion of the obstruction bronchus is removed, the lung can be quickly re opened. Chest X-ray or radiography should be given before and after sputum suction for comparison（ 3) Endotracheal intubation sputum suction endotracheal intubation sputum suction tube must be long enough, if there is no longer sputum suction tube, you can cut off part of the extraoral tracheal intubation, so as to increase the effective suction length of the sputum suction tube, in order to truly achieve the effect of sputum suction.