总结了在非洲简陋医疗环境中接诊的15例胸部枪击伤患者急诊手术配合及围手术期护理经验，旨在为胸部创伤患者的救治和护理提供借鉴。护理要点包括全面且细致的伤情评估、开通双静脉通道、确保充足氧供、角色转换协助心肺复苏及手术、制作胸腔引流装置、强化术后体位与疼痛管理以预防胸部感染、重视术后营养支持和康复训练以促进呼吸功能恢复。经过精心护理，14例患者顺利康复出院，1例患者因术后腹腔出血不幸死亡。

Treatment experience in emergency surgery cooperation and perioperative nursing for 15 patients with chest gunshot wounds treated in a resource-limited medical environment in Africa were summarized,aiming to provide references for the treatment and care of chest trauma.The key nursing focuses included comprehensive and careful injury assessment,establishing dual intravenous access,ensuring adequate oxygen supply,adapting roles to assist with cardiopulmonary resuscitation and surgery,creating thoracic drainage devices,enhancing postoperative positioning and pain management to prevent chest infections,and emphasizing postoperative nutritional support and rehabilitation training to promote respiratory function recovery.Among the patients,14 recovered well and were discharged after meticulous care,while 1 died due to postoperative abdominal hemorrhage.

R473.82；R823