摘 要：
目的：总结1例达芬奇机器人胸腔镜辅助解剖性肺叶切除术伴肥胖患者的围手术期护理经验。方法：对某左侧腺癌肥胖患者进行术前评估、心理护理、呼吸道准备后，行达芬奇机器人胸腔镜辅助解剖性肺叶切除术。术后加强呼吸道管理，在做好胸腔引流管的观察护理以及疼痛管理的条件下指导患者进行功能康复锻炼，严格皮肤护理，积极预防并发症。并做好出院后延续护理。结果：经过精心护理，患者住院期间未发生并发症，肺复张良好，术后4d出院。结论：肥胖患者更容易产生围手术期并发症，护理难度大，应用达芬奇机器人辅助下胸腔镜手术，针对患者采取个性化护理方案，减少了并发症的发生，缩短患者的住院天数。
关键字：达芬奇机器人；机器人辅助下胸腔镜手术；肺癌；肥胖；护理
Abstract：
Objective: To summarize the perioperative nursing experience of a Da Vinci robotic thoracoscopic assisted anatomic lobectomy with obesity. Methods: An obese patient with left adenocarcinoma underwent preoperative evaluation, psychological nursing and respiratory tract preparation, and then underwent ananatomical lobectomy assisted by Da Vinci robot thoracoscopic surgery. After operation, respiratory tract management should be strengthened, patients should be guided to carry out functional rehabilitation exercise under the condition of observation and nursing of thoracic drainage tube and pain management, and skin care should be strictly taken to actively prevent complications. And do a good job of after-discharge care. Results: After careful nursing, the patient did not have complications during hospitalization, the lung reexpansion was good, and the patient was discharged 4 days after surgery. Conclusion: Obese patients are more likely to have perioperative complications, and nursing is difficult. The application of thoracoscopic surgery assisted by Da Vinci robot and personalized nursing plan for patients can reduce the occurrence of complications and shorten the length of hospital stay for patients.
Keywords: Da Vinci Robot; Robot-assisted thoracoscopic surgery; Lung cancer; Obesity; nurse
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