CAJ | 학술논문

总结246例先天性无神经节细胞症患儿行经肛门直肠结肠切除斜行吻合术的护理经验。通过术前予心理护理、肠道准备2周~3周，改善患儿营养状况，治疗肠道炎症，完善术前检查；术后加强生命体征观察、出入液量监测、管道安全及护理、肠外营养支持，密切观察腹部体征及肠功能恢复情况，观察有无肠吻合口瘘、出血、盆腔感染等术后早期并发症发生，做好住院健康教育及出院指导。本组患儿住院期间出现吻合口瘘1例，出血1例，盆腔感染1例，出院后1年内发生小肠结肠炎5例，经精心治疗及护理，均痊愈。
총결246례선천성무신경절세포증환인행경항문직장결장절제사행문합술적호리경험。통과술전여심리호리、장도준비2주~3주，개선환인영양상황，치료장도염증，완선술전검사；술후가강생명체정관찰、출입액량감측、관도안전급호리、장외영양지지，밀절관찰복부체정급장공능회복정황，관찰유무장문합구루、출혈、분강감염등술후조기병발증발생，주호주원건강교육급출원지도。본조환인주원기간출현문합구루1례，출혈1례，분강감염1례，출원후1년내발생소장결장염5례，경정심치료급호리，균전유。
It summarized the nursing experience of 246 cases of patients with congenital aganglionosis under-went transanal rectal resection and anastomosis of the oblique line.Through the preoperative psychological nursing and bowel preparation for 2 to 3 weeks,the nutritional status of children was improved,the intestinal in-flammation was treated and the preoperative examination was improved.To strengthen the postoperative obser-vation of the vital signs,monitoring of out of fluid volume,pipeline safety and care and parenteral nutrition sup-port.Closely to observe the abdominal signs and intestinal function recovery,observe whether early postopera-tive complications occurred including intestinal anastomotic fistula,bleeding and pelvic infection,done a good job in hospitalization health education and discharge guildance.In this group of patients during hospitalization, anastomotic fistula occurred in 1 case,1 case of hemorrhage,1 case of pelvic infection.And the enterocolitis oc-curred in 5 cases 1 year later after discharge,they were cured after careful treatment and nursing.