直肠癌经腹前切除术后吻合口出血的护理  

作　　者：朱亚萍[1] 吴海燕[1] 肖丽颜[1] 杨丽芳[1] 孔令亨[1] 丁培荣[1] 

机构地区：[1]中山大学附属肿瘤医院腹部外科,广东广州510060

出　　处：《现代临床护理》2008年第9期41-42,共2页Modern Clinical Nursing

摘　　要：目的探讨并分析直肠癌经腹前切除术后吻合口出血的原因,并提出护理对策。方法回顾性分析和总结9例直肠癌经腹前切除术后吻合口出血的临床表现和护理对策。结果9例直肠癌经腹前切除术后吻合口出血的患者中,5例经保守治疗3～5d后出血停止;4例保守治疗无效,行横结肠造口术或回肠造口术后出血症状得到改善。9例患者住院14～23d出院,无出现其他并发症。结论做好心理护理、引流管护理、腹部切口和肛门排出液的观察和促进胃肠功能恢复对预防和治疗直肠癌经腹前切除术后吻合口出血具有重要的意义。Objective To explore causes of anastomotic bleeding after transabdominal anterior resection of rectal cancer and propose nursing countermeasures. Methods Nine patients with rectal cancer who suffered from anastomotic bleeding after anterior resection were reviewed. Causes of postoperative anastomotic bleeding were analyzed and nursing countermeasures were proposed. Results Main causes of anastomotic bleeding after anterior resection of rectal cancer included imcompletion of purse string suture, imcompletion of anastomosis and untight occlusion. Among the nine patients above, five recovered by conservative treatment after three to five days, and the other four received transverse colostomy or ileostomy since conservative treatment was ineffective. All the patients were discharged from hospital after 14 to 23 days, without other complications. Conclusion Mental nursing, nursing of drainage tube, observation of drainage liquid from anus and enhancement of gastrointestinal functional recovery play important roles in prevention of anastomotic bleeding after anterior resection of rectal cancer.

关 键 词：直肠癌 经腹前切除术 吻合口出血 护理 

分 类 号：R473.73[医药卫生—护理学]