Expert consensus on nursing standards for patients with subcutaneous emphysema after lung cancer surgery

doi:10.3877/cma.j.issn.1674-0785.2025.03.002

Abstract

Abstract:

Subcutaneous emphysema is a common complication following lung cancer surgery，influenced by factors such as disease type，surgical technique，incision selection，and suture quality.Extensive subcutaneous emphysema could lead to dyspnea，dysphagia，and localized abdominal pain，potentially progressing to respiratory failure in severe cases.The nursing care of patients with subcutaneous emphysema is a crucial aspect of clinical management，positively impacting their quality of life.Currently，there is a lack of expert consensus or guidelines for the nursing of patients with subcutaneous emphysema after lung cancer surgery.To further standardize the management of patients with subcutaneous emphysema after lung cancer surgery，the Lung Cancer Case Management Professional Committee of the Guangdong Nursing Association and the Lung Oncology Branch of the Guangdong Medical Association jointly organized experts from related fields to formulate an expert consensus on nursing standards for patients with subcutaneous emphysema after lung cancer surgery，focusing on the occurrence mechanism，grading standards，prevention and monitoring，intervention，and nursing of patients with subcutaneous emphysema after lung cancer surgery，aiming to provide scientific and systematic guidance for clinical nursing practice.

Key words: Lung cancer surgery, Subcutaneous emphysema, Nursing, Consensus

Cancer Case Management Professional Committee of the Guangdong Nursing Association Lung, Oncology Branch of the Guangdong Medical Association Lung. Expert consensus on nursing standards for patients with subcutaneous emphysema after lung cancer surgery[J]. Chinese Journal of Clinicians(Electronic Edition), 2025, 19(03): 180-187.

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Figures/Tables 2

指标	第一轮		第二轮
指标	评分（ $\overset{ˉ}{x}$ ± s ）	变异系数（CV）	评分（ $\overset{ˉ}{x}$ ± s ）	变异系数（CV）
皮下气肿的概况
概念	4.78±0.42	0.088	4.91±0.30	0.061
发生机制	4.69±0.59	0.126	4.84±0.52	0.107
临床表现	4.94±0.25	0.051	4.94±0.25	0.051
皮下气肿的分级标准
Manouchehr 分级法	4.94±0.25	0.051	4.94±0.25	0.051
Aghajanzadeh 分级	4.22±0.71	0.168	4.00±1.08	0.27
皮下气肿的预防与管理
皮下气肿的预防	4.94±0.25	0.051	4.88±0.34	0.070
皮下气肿的护理	5.00±0.00	0	5.00±0.00	0
皮下气肿监测要点	4.91±0.30	0.061	4.97±0.18	0.036
引流管护理	4.94±0.25	0.051	4.97±0.18	0.036
负压吸引	4.91±0.30	0.061	4.94±0.25	0.051
胸腔灌注的护理	4.59±0.71	0.155	4.91±0.30	0.061
氧疗护理	4.81±0.54	0.112	4.84±0.45	0.093
体位管理	4.81±0.47	0.098	4.94±0.25	0.051
呼吸功能指导	4.84±0.37	0.076	4.97±0.18	0.036
营养支持	4.81±0.47	0.098	4.87±0.34	0.070
早期活动指导	4.75±0.57	0.120	4.84±0.45	0.093
心理护理	4.75±0.51	0.107	4.88±0.34	0.070

指标	第一轮		第二轮
指标	评分（ $\overset{ˉ}{x}$ ± s ）	变异系数（CV）	评分（ $\overset{ˉ}{x}$ ± s ）	变异系数（CV）
皮下气肿的概况
概念	4.78±0.42	0.088	4.91±0.30	0.061
发生机制	4.69±0.59	0.126	4.84±0.52	0.107
临床表现	4.94±0.25	0.051	4.94±0.25	0.051
皮下气肿的分级标准
Manouchehr 分级法	4.94±0.25	0.051	4.94±0.25	0.051
Aghajanzadeh 分级	4.22±0.71	0.168	4.00±1.08	0.27
皮下气肿的预防与管理
皮下气肿的预防	4.94±0.25	0.051	4.88±0.34	0.070
皮下气肿的护理	5.00±0.00	0	5.00±0.00	0
皮下气肿监测要点	4.91±0.30	0.061	4.97±0.18	0.036
引流管护理	4.94±0.25	0.051	4.97±0.18	0.036
负压吸引	4.91±0.30	0.061	4.94±0.25	0.051
胸腔灌注的护理	4.59±0.71	0.155	4.91±0.30	0.061
氧疗护理	4.81±0.54	0.112	4.84±0.45	0.093
体位管理	4.81±0.47	0.098	4.94±0.25	0.051
呼吸功能指导	4.84±0.37	0.076	4.97±0.18	0.036
营养支持	4.81±0.47	0.098	4.87±0.34	0.070
早期活动指导	4.75±0.57	0.120	4.84±0.45	0.093
心理护理	4.75±0.51	0.107	4.88±0.34	0.070

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