负压封闭引流在腹腔肿瘤切除术后应用的护理  

作　　者：黄华勇[1] 李向真[1] 袁长深[1] 谭俏菊[1] 李莉[1] 何姿[1] 蒋民鸣[1] 

机构地区：[1]广西中医学院第一附属医院胃肠腺体外科,广西南宁530023

出　　处：《现代临床护理》2010年第2期32-33,6,共3页Modern Clinical Nursing

摘　　要：目的总结负压封闭引流(vaccum sealing drainage,VSD)在腹腔肿瘤切除术后应用的护理要点。方法回顾性分析50例腹腔肿瘤术后行负压封闭引流患者的护理经过。结果 38例患者在5-7d内拔除引流装置;10例在5-7d后更换VSD材料,继续进行引流,平均8.6d拔除引流装置;2例经过3次更换VSD材料后继续进行引流,平均15.5d拔除引流装置。2例患者出现不完全性肠梗阻、1例吻合口漏、3例引流物堵塞管腔,经过针对性的治疗和护理后,50例患者均痊愈出院。结论做好心理护理、基础护理、疼痛护理及营养支持;保持VSD引流通畅;及时发现并治疗并发症,是保证负压封闭引流在腹腔肿瘤切除患者术后应用成功的关键。Objective To summarize the main nursing points for vacuum sealing drainage after peritoneal cavity tumorectomy.Method Retrospectively the experience of nursing 50 patients with vacuum sealing drainage after peritoneal cavity tumorectomy was summarized.Results For 38 cases,the vacuum sealing drainage system was pulled out after 5-7 d.In another 10 cases,the drainage continued after alteration of VSD after 5-7 d,with vacuum sealing drainage system pulled out on an average of 8.6 d;2 cases continued drainages after alteration of VSD three times,with vacuum sealing drainage pulled out on an average of 15.5 d.Although 2 cases were found with incomplete intestinal obstruction,1 case appeared with stomal leak,3 cases appeared with obstruct vacuum sealing drainage,all of the 50 patients were fully recovered.Conclusion The key for successful drainage after peritoneal cavity tumorectomy exists in careful mental nursing,basic nursing,ache nursing,nutritional support,keeping vacuum sealing drainage unobstructed,timely finding and treatment of the operative complication.

关 键 词：负压封闭引流 腹腔 肿瘤 护理 

分 类 号：R473.73[医药卫生—护理学]