Objective Prevention and treatment of severe open pneumothorax,hemothorax caused the breath difficulty caused by injury of chest,organ or vascular injury after hemorrhage shock and postoperative complications.Methods From 2012 to January to 2013 January,58 cases of such patients to maintain airway patency,pre-operative rapid expansion,psychological nursing;application of safety measures during implementation ,operation skills;postoperative encourage patients to cough,expec-toration,deep breathing,effective back stimulus cough and expectoration,keep smooth drainage,guiding patients early ambulation,prevention of infection and atelectasis. Results There were 1 cases of aortic rupture with serious hemorrhagic shock time long rescue invalid death ,the other patient safety through peri operation period .Conclu-sion Early diagnosis,anti shock,quickly prepared necessary preoperative,win the operation time,early closure of the wound,to maintain airway patency,the implementa-tion of safety measures in operation,application skills,encourage patients to early ambulation,reasonable nutrition,observe drainage tube and the wound,postoperative ap-plication of antibiotics,is to save the patient's life,prevent the complications,and promote the rehabilitation of patients.
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