摘要
腹腔镜胆总管囊肿切除术和Roux-en-Y肝管空肠吻合术治疗小儿胆总管囊肿安全有效,且随着腹腔镜技术的进步,单孔腹腔镜具有创伤更小、美容效果更佳的优势。本文总结了745例单孔腹腔镜胆总管囊肿切除患儿围手术期临床观察要点。护理人员应熟悉患儿围手术护理和对家长宣教的重点。术前做好心理护理和手术相关知识介绍,术后加强病情观察及管道护理,做好术后体位、心电监护、静脉通路建立、伤口敷料、胃肠减压、腹部引流管、导尿管等方面护理管理工作,同时加强恢复期指导和宣教是腹腔镜胆总管囊肿根治术成功的重要保证。
It is safe and effective to apply single-port laparoscopic choledochal cyst excision in children with choledochocyst. It shows advantages of less trauma,better cosmetic effect and recovery as the development of laparoscopic techniques. In this paper,the main points of observation on the physical sign of children undergoing single-port laparoscopic choledochal cyst excision were summarized. The key points of nursing care and health education for parents were summarized. Preoperative psychological nursing and health education on surgical-related knowledge,postoperative interventions on body position management,electrocardiogram monitoring,venous access establishment,wound dressing,drainage tube and urethral catheter,as well as rehabilitation guidance and education,were important approaches to guarantee for surgical effect.
出处
《中西医结合护理（中英文）》
2017年第9期78-80,共3页
Journal of Clinical Nursing in Practice
