CAJ | 학술논문

目的探讨婴幼儿唇腭裂修复术围手术期呼吸道管理的护理要点.方法对175例唇腭裂患儿病例进行回顾性分析和总结,并不断改进护理方法.结果 175例患儿唇腭裂修复术后未并发感染,创口均一期愈合,其中腭部松弛切口出血2例,术后低氧血症2例,术后发生喂食管反流误吸1例,经及时发现,积极处理均痊愈出院.结论唇腭裂修复术围手术期的并发症主要与呼吸道的并发症相关,完善术前准备,加强围手术期护理,尤其加强呼吸道的管理,可有效减少术后并发症的发生,提高患儿手术的安全性.
목적 탐토영유인진악렬수복술위수술기호흡도관리적호리요점.방법 대175례진악렬환인병례진행회고성분석화총결,병불단개진호리방법.결과 175례환인진악렬수복술후미병발감염,창구균일기유합,기중악부송이절구출혈2례,술후저양혈증2례,술후발생위식관반류오흡1례,경급시발현,적겁처리균전유출원.결론 진악렬수복술위수술기적병발증주요여호흡도적병발증상관,완선술전준비,가강위수술기호리,우기가강호흡도적관리,가유효감소술후병발증적발생,제고환인수술적안전성.
Objective To investigate the nursing key point of perioperative management of respiratory tract in infant patients with cleft lip and palate repair.Methods To retrospectively analyze and summarize the documents of 175 infant patients with cleft lip and palate in our hospital,in order to continuously improve the nursing methods.Results A total of 175 infant patients with cleft lip and palate were selected and performed the cleft lip or palate repair surgery.We did not find complications of infection in all of them.Operative incision of all patients obtained primary healing,with postoperative bleeding of palatorrhaphy relaxing incisions in 2 patients,postoperative hypoxemia in 2 patients and postoperative gastroesophageal reflux and aspiration in 1 patient.All of these situations were timely detected and treated appropriately without causing severe complications.All of infant patients were discharged from hospital after recovery.Conclusions Complications which happened during the perioperative period are associated with complications of respiratory tract.We should improve the preoperative preparation and strengthen perioperative nursing,especially the management of respiratory tract,which can effectively reduce the incidence of postoperative complications and enhance the safety of surgery in infant patients with cleft lip and palate.