小儿扁桃体摘除术后早期并发症的护理  

Nursing of Early Complications after Tonsillectomy in Children

作　　者：崔明[1] CUI Ming(Children＇s Hospital Affiliated to Zhengzhou University、Henan Children＇s Hospital、 Zhengzhou Children＇s Hospital,Zhengzhou,Henan,450018,China)

机构地区：[1]郑州大学附属儿童医院、河南省儿童医院、郑州儿童医院,河南郑州450018

出　　处：《临床研究》2018年第11期164-165,共2页Clinical Research

摘　　要：目的探究小儿扁桃体摘除术后早期常见的并发症类型及护理方法。方法选择本院自2017年1月至2017年9月收治的61例行小儿扁桃体摘除术后24h内发生呕吐、缺氧、发热和反应性出血等早期并发症的患儿作为研究对象,回顾性分析其并发症类型、护理干预对策及预后效果。结果对29例出现呕吐症状的患儿施行口腔分泌物吸引护理干预后,术后6h左右其呕吐症状停止,对4例出现反复呕吐症状的患儿施行抗呕吐药物治疗,治疗后24h左右其呕吐停止;对36例出现缺氧症状的患儿施行鼻导管或面罩给氧护理干预后,所有患儿的缺氧症状均有明显改善,且未发生低氧血症;对17例出现低热症状的患儿未进行任何干预,术后6h其体温恢复正常,对31例出现中热症状的患儿施行物理降温后,其体温恢复正常,对2例出现高热症状的患儿采用药物降温后,其体温恢复正常;对2例出现反应性出血症状的患儿施行止血药物治疗或颈部冰敷干预后,治疗后8h未再出血。结论小儿患者行扁桃体摘除术后易发生较多的早期并发症,临床在术后24h内需密切关注患儿的切口、呼吸及体温等体征变化,才能及时采取有效的方式对其出现的并发症进行早期干预,进而提高患儿的预后质量。Objective To explore the common types of complications and nursing methods in the early stage of children＇s tonsillectomy. Methods From January 2017 to September 2017, 61 children who had early complications during 24h after pediatric tonsillectomy were selected as the research subjects. Their complications, nursing interventions and prognosis were retrospectively analyzed. Results Children underwent tonsillectomy after prone to vomiting, fever, hypoxia and reactive bleeding complications, 29 cases of general vomiting symptoms in children with oral secretions to attract the nursing intervention, the postoperative 6h about its stop vomiting, antiemetic drug therapy performed in 4 cases of recurrent vomiting symptoms in children after the treatment of 24h about its vomiting stop; 36 cases of hypoxic symptoms underwent nasal catheter oxygen mask or nursing intervention, all children with hypoxic symptoms were significantly improved, and no hypoxemia; 17 cases of fever symptoms in children without any intervention, 6 h after the temperature returned to normal, in 31 cases of heat syndrome underwent physical cooling, the temperature returned to normal, the drug cooling in 2 children with high fever symptoms after operation, the body temperature 2 patients with reactive bleeding symptoms were treated with hemostasis or neck ice compress, and no rebleeding was found in 8h after treatment. Conclusion Children underwent tonsillectomy more easily after early complications, clinical 24h in postoperative incision, domestic demand to pay close attention to breathing and temperature were the signs of change, to take timely and effective way for early intervention on the occurrence of complications, and can improve the quality of prognosis in children.

关 键 词：小儿扁桃体摘除术 早期并发症 护理 

分 类 号：R473.76[医药卫生—护理学]