摘要
报告1例先天色素性神经纤维瘤破裂伴失血性休克新生儿的围手术期护理。术前全身营养评估、纠正失血性贫血,改善全身情况;医护协作创面管理、评估伤口,严格无菌操作、隔日换药、加压包扎止血,预防感染;加强母亲营养指导;术前备血,医患充分沟通,取得患儿家长合作和理解。术中严密监测生命体征,切除肿物送病理检验。术后严密观察生命体征、伤口渗出血情况,严格遵守无菌技术,但由于患儿年龄小,创面大,切口张力大,在术后第5天出现伤口裂开,经过伤口小组会诊,创面予以重组人表皮生长因子运用,术后30天伤口愈合良好。患儿全程经过53天精心治疗护理,痊愈出院。
This paper reports the perioperative nursing of a newborn with congenital pigmented neurofibroma rupture accompanied by hemorrhagic shock.In order to improve surgical tolerance,preoperative nutrition assessment should be paid attention to,blood loss anemia should be corrected and systemic conditions should be improved.Participate in wound management,evaluate the wound regularly,strictly implement aseptic operation,use dressings on alternate days,pressure dressing,compression and hemostasis to prevent infection and massive wound bleeding;At the same time,we should strengthen nutritional guidance for lactating mothers,prepare blood one day before surgery,fully communicate with doctors and patients,and obtain cooperation and understanding from parents.Vital signs were closely monitored during the operation,and the resected tumor was sent for pathological examination.However,due to the child's young age,large wound and large incision tension,wound dehement appeared on the 5th day after the operation.After wound group consultation,the wound was treated with recombinant human epidermal growth factor,and the wound healed well 30 days after the operation.After 53 days of careful treatment and nursing,the child healed and was discharged from hospital.
作者
陈月香
徐美玲
朱俊清
罗秀侠
CHEN Yue-xiang;XU Mei-ling;ZHU Jun-qing(Anhui ProvincAL Children's Hospital,Hefei 230054,Anhui)
出处
《安徽卫生职业技术学院学报》
2021年第3期145-147,共3页
Journal of Anhui Health Vocational & Technical College
