关键词: 巨大肿瘤, 老年, 偏瘫, 肺不张, 康复护理

Abstract:

To summarize the nursing experience of postoperative lung re-expansion in an elderly hemiplegic patient with a massive pulmonary tumor. The nursing interventions included the utilization of high-flow therapy with positive pressure ventilation to facilitate early alveolar re-expansion. Guided breathing exercises were implemented to enhance respiratory muscle strength and maintain alveolar expansion. Furthermore，a comprehensive approach to airway clearance techniques was employed to improve the patient’s ability to expectorate sputum effectively. A stepwise nutritional care plan was implemented to reduce complications and ensure a safe transition to oral feeding. Additionally，a discharge preparation service plan was executed to ensure the provision of continuous care after hospital discharge. Through the collaborative efforts of a multidisciplinary team and diligent postoperative nursing care，the patient exhibited a favorable recovery and was discharged after a 20-day hospitalization period.

Key words: Massive Tumor, Elderly, Hemiparesis, Atelectasis, Rehabilitation Nursing