婴幼儿先天性巨结肠回流灌肠的意外处理和护理对策  

Management of accidents of reflux enema for infantile Hirschsprung＇s disease and nursing countermeasures

作　　者：齐超[1] 肖静 肖尚杰[1] 区惠红[1] Qi Chao;Xiao Jing;Xiao Shangjie;Ou Huihong(Guangdong Women and Children Hospital, Guangzhou 511442, China)

机构地区：[1]广东省妇幼保健院,广州511442

出　　处：《国际医药卫生导报》2018年第11期1717-1719,共3页International Medicine and Health Guidance News

摘　　要：目的回顾分析婴幼儿先天性巨结肠回流灌肠意外及处理，提出专项护理对策。方法总结本院82例婴幼儿先天性巨结肠回流灌肠在医患配合、病情评估、肛管选择、灌洗操作意外的原因和处理方法。结果本组82例患儿、562次回流灌洗47次灌肠意外中肛管反折12次，依从性差12次，粪石堵管10次，插管不到位9次，肛管细小5次，出血2次，巨大粪石1次，扩肛器滑人直肠1次。结论医患配合、病情评估、肛管选择、灌洗操作是灌肠意外的主要原因，专项培训和专项管理是获得满意回流灌肠效果、避免意外的有效保证。Objective To retrospectively analyze accidents and management countermeasures of reflux enema for infantile Hirschsprung＇s disease, and put forward professional nursing countermeasures. Methods We summarized the reasons and treatment methods of accidents of reflux enema for 82 cases of infantile Hirschsprung＇s disease in our hospital in physician-patient coordination, illness evaluation, anal canal choosing, and enema operation. Results There were 47 accidents in 562 times of reflux enema of 82 infants, including 12 times of anal canal reversal, 12 times of low compliance, 10 times of fecalith plugging, 9 times of improper catheterization, 5 times of small anal canal, 2 times of bleeding, 1 time of huge fecalith, and 1 time of anus dilator sliding into the rectum. Conclusion The physician-patient coordination, illness evaluation, anal canal choosing, enema operation were the main causes of enema accidents, professional training and management could effectively guarantee the satisfactory effect of reflux enema and avoid accidents.

关 键 词：婴幼儿 先天性巨结肠 回流灌肠 意外 对策 

分 类 号：R473.72[医药卫生—护理学]