中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
10期
108-109
,共2页
食管闭锁%婴儿,新生%护理
食管閉鎖%嬰兒,新生%護理
식관폐쇄%영인,신생%호리
Esophageal Atresia%Infant Newborn%Nuring care
目的 手术治疗先天性食管闭锁患儿的临床护理.方法 术前加强护士在早期诊断中的作用,加强呼吸道和肺部护理,做好保温和监护,进行充分的术前准备.术后加强气道护理和引流管的管理,密切监护,加强营养支持及正确喂养.结果 本27例痊愈23例,死亡4例.吻合口漏5例,愈合3例,吻合口狭窄3例,行扩张治疗后好转.死亡4例中2例死于肺炎,2例死于吻合口瘘(家长放弃治疗后死亡).结论 加强临床护理工作可明显提高先天性食管闭锁患儿的外科治疗效果.
目的 手術治療先天性食管閉鎖患兒的臨床護理.方法 術前加彊護士在早期診斷中的作用,加彊呼吸道和肺部護理,做好保溫和鑑護,進行充分的術前準備.術後加彊氣道護理和引流管的管理,密切鑑護,加彊營養支持及正確餵養.結果 本27例痊愈23例,死亡4例.吻閤口漏5例,愈閤3例,吻閤口狹窄3例,行擴張治療後好轉.死亡4例中2例死于肺炎,2例死于吻閤口瘺(傢長放棄治療後死亡).結論 加彊臨床護理工作可明顯提高先天性食管閉鎖患兒的外科治療效果.
목적 수술치료선천성식관폐쇄환인적림상호리.방법 술전가강호사재조기진단중적작용,가강호흡도화폐부호리,주호보온화감호,진행충분적술전준비.술후가강기도호리화인류관적관리,밀절감호,가강영양지지급정학위양.결과 본27례전유23례,사망4례.문합구루5례,유합3례,문합구협착3례,행확장치료후호전.사망4례중2례사우폐염,2례사우문합구루(가장방기치료후사망).결론 가강림상호리공작가명현제고선천성식관폐쇄환인적외과치료효과.
Objective To summarize the nursing experiences of 27 infants with congenital esophageal atresia accepted operative treatment.Methods Enhancing the nurse' s function of early diagnosis,enhancing the nursing of respiratory tract and the lungs,keeping warm and monitoring,sufficient preoperative preparation.After operation,enhancing the nursing of respiratory tract and drainage-tube,enhancing nutritional support,feeding correctly.Results Twenty-three cases were cured,4 cases died.5 cases had anastomotic leakage,3 cases closed up,3 cases had anastomotic stenosis,they were cured after given ballon dilation.2 cases died of pneumonia,2 cases died of anastomotic leakage (the parents abandoned treatment).Conclusions Enhancing clinical nursing can obviously improve the curative effect of congenital esophageal atresia.
