葛西手市治疗胆道闭锁患儿的护理  

Nursing for children with biliary atresia cured by Kusai operation

作　　者：陈泽红[1] 卢秀娴[1] 甄毅贞[1] 刘文旭[1] 

机构地区：[1]中山大学附属第一医院小儿外科,广州510080

出　　处：《中国实用护理杂志（中旬版）》2007年第9期45-47,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨葛西手术治疗胆道闭锁的围手术期护理措施及其临床意义。方法对112例胆道闭锁行葛西手术患儿于术前密切观察临床表现，协助明确诊断及时手术；围手术期护理措施包括术前肠道准备，术后全程严密的病情观察，细致全面的基础护理，及时发现胆管炎先兆表现，配合胆管炎的医疗处理，实施保护性隔离措施。结果9例手术后至出院前无胆管炎发生，恢复好，3例放弃治疗，其余患者顺利出院。结论对胆道闭锁行葛西手术治疗的患儿护理的目的在于术前尽早明确诊断，尽早手术。减少各种术后并发症发生的重点在于积极预防，及早发现胆管炎的发生，及时对症处理。Objective In order to know the perioperative nursing points for children with biliary atresia cured by Kasai operation and counter clinical meanings. Methods Kasai operation was used for 112 children with biliary atresia, careful perioperative nursing cares were used for them such as proper basal nursing, protective isolation and proper treatment matching. Results All the children had obtained successful operation except for 3 cases who had given up treatment. Conclusion The perioperative nursing points of Kasai operation are avoiding counter complications and preventing cholangitis.

关 键 词：胆道闭锁 手术 并发症 护理 

分 类 号：R726.574[医药卫生—儿科]