胃肠减压在预防小儿心内直视术后恶性呕吐中的应用  

Application of Gastrointestinal Decompression to Prevent Nausea and Vomiting after Open Heart Surgery in Children

作　　者：邓明彬[1] 周莉[2] 廖斌[1] 易善永[1] 李新[1] 

机构地区：[1]泸州医学院附属医院胸心外科,四川泸州646000 [2]泸州医学院附属医院腔镜室,四川泸州646000

出　　处：《中国误诊学杂志》2004年第10期1606-1607,共2页Chinese Journal of Misdiagnostics

摘　　要：目的 :观察胃肠减压在防止小儿体外循环术后早期恶心、呕吐的临床效果。方法 :收集年龄在 2～ 12岁先天性心脏病患儿 6 0例 ,均在全麻体外循环下行心内直视手术 ;随机分为治疗组和对照组各 30例 ,治疗组术后经鼻安置胃管 ,麻醉清醒、拔除气管插管前 ,先在负压下拔除胃管 ;对照组不安置胃肠减压 ,其余处理同治疗组。观察并记录气管插管拔除后 72 h之内发生恶心、呕吐的次数和持续时间。结果 :治疗组恶心、呕吐发生率明显低于对照组 ( P<0 .0 1) ,平均呕吐次数和持续时间均小于对照组 ( P<0 .0 5 )。结论 :小儿体外循环术后早期胃肠减压可以有效防止恶心、呕吐的发生 ,具有简单、安全。Objective:To investigate the effects of application of gastrointestinal decompression to prevent nausea and vomiting after open heart surgery in children.Methods:Sixty patients aged 2～12 years and underwent heart surgery were randomly divided into two groups:treat group and control group(n=30) .Patients of treat group was catheterozed gastric tube after open heart surgery.The gastric tube was removed before tracheal extubation.The incidence,the frequency and continual time of nausea and vominting in two groups were recorded during 72 hours after tracheal extubation.Results:The incidence of postoperative nausea and vomiting in treat group was less than those in control group(P<0.01); The freguency and continual time of nausea and vomiting inf treat group was significantly less than those in control group(P<0.05).Conclusion:The study suggested that application of gastrointestinal decompression to prevent nausea and vomiting after open heart surgery in children was feasible,safe and applicable.

关 键 词：心脏外科手术 减压术 手术后并发症 儿童 

分 类 号：R619.01[医药卫生—外科学]