CAJ | 학술논문

目的探讨十二指肠环形引流术治疗肠系膜上动脉综合征(SMAS)患者的护理.方法分析1959-2007年采用十二指肠环形引流术治疗42例SMAS患者的临床资料,给予手术前心理护理及正确卧位,术后营养支持,健康教育指导.观察患者治疗效果.结果全组42例均痊愈出院,经1-15年随访,效果良好,其中改行十二指肠环形引流术的5例患者,经9-10年随访,效果亦佳,本组患者未发生吻合口溃疡及吻合口狭窄等并发症,无一例发生反流性胃炎.结论肠系膜上动脉综合征通过做十二指肠环形引流术及正确有效的护理可以使患者早日痊愈.
목적 탐토십이지장배형인류술치료장계막상동맥종합정(SMAS)환자적호리.방법 분석1959-2007년채용십이지장배형인류술치료42례SMAS환자적림상자료,급여수술전심리호리급정학와위,술후영양지지,건강교육지도.관찰환자치료효과.결과 전조42례균전유출원,경1-15년수방,효과량호,기중개행십이지장배형인류술적5례환자,경9-10년수방,효과역가,본조환자미발생문합구궤양급문합구협착등병발증,무일례발생반류성위염.결론 장계막상동맥종합정통과주십이지장배형인류술급정학유효적호리가이사환자조일전유.
Objective We discussed the nursing of patients with superior mesenteric artery syndrome (SMAS) through duodenal circular drainage operation. Methods We carried out a retrospective analysis for 42 SMAS patients undergoing duodenal circular drainage operation from. 1959 to 2007. They were given preoperative psychological nursing, correct lying style, postoperative nutritional support and health education instruction. The treatment effect was observed. Results All patients cured and left hospital. The treatment effect was good after one to fifteen years of follow-up visit. Five patients who changed to adopt duodenal circular drainage operation also got good result after nine to ten years of follow-up visit. The incidence of anastomotic ulcer and anastomotic stenosis as well as reflux gastritis was not seen. Conclusion SMAS could be cured earlier through duodenal circular drainage operation and effective nursing.