CAJ | 학술논문

目的总结腹腔镜治疗先天性肥厚性幽门狭窄手术并发症的相关因素及护理对策.方法对我院106例行腹腔镜幽门环肌切开术的新生儿及小婴儿手术并发症发生情况及护理要点进行回顾性分析.结果发生手术并发症16例,其中黏膜穿孔2例,腹腔内出血1例,穿刺孔感染1例,幽门分离不全致术后反复呕吐1例,高碳酸血症2例,皮下气肿1例,低体温8例.无手术死亡病例,无戳孔疝及腹腔内脏器损伤.经细致观察及精心护理,并发症明显改善,术后3～7 d均痊愈出院,无一例发生护理并发症.结论并发症的早期发现和及时护理干预是腹腔镜治疗先天性肥厚性幽门狭窄手术患儿顺利康复出院的重要保障.
목적 총결복강경치료선천성비후성유문협착수술병발증적상관인소급호리대책.방법 대아원106례행복강경유문배기절개술적신생인급소영인수술병발증발생정황급호리요점진행회고성분석.결과 발생수술병발증16례,기중점막천공2례,복강내출혈1례,천자공감염1례,유문분리불전치술후반복구토1례,고탄산혈증2례,피하기종1례,저체온8례.무수술사망병례,무착공산급복강내장기손상.경세치관찰급정심호리,병발증명현개선,술후3～7 d균전유출원,무일례발생호리병발증.결론 병발증적조기발현화급시호리간예시복강경치료선천성비후성유문협착수술환인순리강복출원적중요보장.
Objective To summarize the related factors and nursing countermeasures of complications after the laparoscopy-assisted surgery for congenital hypertrophic pyloric stenosis.Methods Clinical data about the occurrence of complications and nursing points were retrospectively analyzed in 106 cases of neonates and infants.Results Surgical complications occurred in 16 cases,including mucosal perforation in 2 cases,abdominal cavity hemorrhage in 1 case,puncture hole infection in 1 case,repeated postoperative vomiting caused by incomplete pyloric separation in 1 case,postoperative hypercapnia in 2 cases,subcutaneous emphysema in 1 case,8 cases of postoperative hypothermia.No operative deaths.No poking holes hernia and abdominal organ injury.By careful observation and nursing,all cases got rid of postoperative complucations.Within postoperative 3～7 days,they were recovered and discharged,no nursing complications occurred.Conclusions Early discovery of complications and timely nursing intervention are important guarantee for patients to pass through laparoscopic surgery smoothly and obtain swift recovery.