2例肺动脉吊带患儿的术后护理  

Postoperative care of 2 children with pulmonary artery sling

作　　者：诸纪华[1] 唐晓敏[2] 朱红梅[2] 

机构地区：[1]浙江大学医学院附属儿童医院护理部,杭州市310003 [2]浙江大学医学院附属儿童医院外科监护室,杭州市310003

出　　处：《中华护理杂志》2014年第1期28-30,共3页Chinese Journal of Nursing

摘　　要：报告2例肺动脉吊带惠儿矫治术后的护理体会。术后护理的重点为做好呼吸机使用时的管理，预防撤机失败；撤机后密切注意观察，及早发现气道梗阻；加强胸部物理治疗，保证气道湿化、温化；严密观察引流液的量和性状，及早发现吻合口出血；维持循环功能稳定。2例患儿经严密监护和治疗后，均痊愈出院，随访3～7个月，复查心超及胸部增强CT未见明显并发症，生长发育正常。This paper summarizes the postoperative nursing experience of 2 children with pulmonary artery sling. Priorities in postoperative care were effective management while treated with ventilation,prevention of failure in evacuating the ventilator,early detection of airway obstruction through close observation after evacuating the ventilator,enhancement of physical therapy by keeping airway moist and warm,recognition of the early signs of anastomotic. bleeding by observing the quantity and properties of drainage liquid ,and maintenance of circulatory function. Two children were cured by close monitoring and active treatment. Through 3 to 7-month follow-up,echoeardiography review and enhanced CT scan of the chest showed that the children had normal growth and development without any complications.

关 键 词：儿童 手术后医护 肺动脉吊带畸形 

分 类 号：R473.72[医药卫生—护理学]