246例经肛门直肠结肠切除斜行吻合术治疗无神经节细胞症的护理  

Nursing care of 246 cases of patients with no ganglion cell disease undergoing rectal colon resection and oblique anastomosis

作　　者：莫春容[1] 陈希容[1] 胡丽君[1] 刘丽[1] 徐丽霞[1] 田莎莎[1] 应本娟 

机构地区：[1]重庆医科大学附属儿童医院

出　　处：《全科护理》2015年第12期1057-1059,共3页Chinese General Practice Nursing

基　　金：2013-2014年度国家临床重点专科建设项目(临床护理);编号:国卫办医涵[2013]544号

摘　　要：总结246例先天性无神经节细胞症患儿行经肛门直肠结肠切除斜行吻合术的护理经验。通过术前予心理护理、肠道准备2周~3周,改善患儿营养状况,治疗肠道炎症,完善术前检查;术后加强生命体征观察、出入液量监测、管道安全及护理、肠外营养支持,密切观察腹部体征及肠功能恢复情况,观察有无肠吻合口瘘、出血、盆腔感染等术后早期并发症发生,做好住院健康教育及出院指导。本组患儿住院期间出现吻合口瘘1例,出血1例,盆腔感染1例,出院后1年内发生小肠结肠炎5例,经精心治疗及护理,均痊愈。It summarized the nursing experience of 246 cases of patients with congenital aganglionosis under- went transanal rectal resection and anastomosis of the oblique line. Through the preoperative psychological nursing and bowel preparation for 2 to 3 weeks, the nutritional status of children was improved, the intestinal in- flammation was treated and the preoperative examination was improved. To strengthen the postoperative obser- vation of the vital signs, monitoring of out of fluid volume, pipeline safety and care and parenteral nutrition sup- port. Closely to observe the abdominal signs and intestinal function recovery,observe whether early postopera- tive complications occurred including intestinal anastomotic fistula, bleeding and pelvic infection, done a good job in hospitalization health education and discharge guildance. In this group of patients during hospitalization, anastomotic fistula occurred curred in 5 cases 1 year later in 1 case, 1 case of hemorrhage, 1 case of pelvic infection. And the enterocolitis oc after discharge, they were cured after careful treatment and nursing.

关 键 词：无神经节细胞症 吻合术 护理 

分 类 号：R473.6[医药卫生—护理学]