CAJ | 학술논문

目的探讨骨科多关节同期置换手术的围手术期护理,防止术中并发症.方法通过对8例三关节同期置换,1例四关节同期置换手术患者术前的访视,术中感染的有效控制,强直性脊柱炎困难体位的摆放,多种器械的更换及清点等进行总结,分析归纳术中护理配合要点及管理经验.结果手术配合顺利,变换体位平稳,数目清点准确,无一例感染及其他护理引起的术后并发症,9例均安返监护室.结论多关节同期置换手术时间长,出血多,创伤大,无菌程度要求高.体位及器械需要多次变换,保证患者的翻身安全及数目的清点尤为重要,对护理配合要求高.因此,需要做好充分的术前准备,术中采取积极有效的护理措施,保证手术顺利进行.
목적 탐토골과다관절동기치환수술적위수술기호리,방지술중병발증.방법 통과대8례삼관절동기치환,1례사관절동기치환수술환자술전적방시,술중감염적유효공제,강직성척주염곤난체위적파방,다충기계적경환급청점등진행총결,분석귀납술중호리배합요점급관리경험.결과 수술배합순리,변환체위평은,수목청점준학,무일례감염급기타호리인기적술후병발증,9례균안반감호실.결론 다관절동기치환수술시간장,출혈다,창상대,무균정도요구고.체위급기계수요다차변환,보증환자적번신안전급수목적 청점우위중요,대호리배합요구고.인차,수요주호충분적술전준비,술중채취적겁유효적호리조시,보증수술순리진행.
Objective To evaluate perioperative nursing of multiple joint replacement patients at one-stage,in order to prevent the nursing complications Methods According to the summary of the 9 cases of perioperative nursing of multiple joint replacement patients at one-stage, the experience of introperative nursing care and administration was summarized. Results The operation went on smoothly with nursing care intraoperatively, no complications and the patients were sent to intensive care unit safely. Conclusions Simultaneous multiple joint arthroplasty was a relatively long period operation with big amount of blood lose, wound and multiple posture, the nursing care during this operation was updated. The preparation of the simultaneous multiple joint arthroplasty should get all the preoperation preparation well prepared. Only in way, the simultaneous multiple joint arthroplasty could go very smoothly.