晚期宫颈癌患者盆腔廓清术后并发症观察与护理  

Nursing of postoperative complications in advanced cervical cancer patients having undergone pelvic exenteration

作　　者：林小玲[1] 蒋超南 李振炎[1] Lin Xiaoling;Jiang Chaonan;Li Zhenyan(Sun Yat-sen University Cancer Center,Guangzhou,510060,China)

机构地区：[1]中山大学附属肿瘤医院

出　　处：《现代临床护理》2019年第7期15-19,共5页Modern Clinical Nursing

摘　　要：目的探讨晚期宫颈癌患者盆腔廓清术后并发症情况,并总结护理要点,以便为相关疾病的护理提供经验借鉴。方法对56例晚期宫颈癌患者实施盆腔廓清术,术后做好并发症的观察与护理。结果56例患者手术时间为425~1090min,平均(573.60±87.43)min,手术失血量250~3500mL,平均(558.24±76.25)mL,住院时间9~35d,平均(18.26±3.89)d。术后患者出现并发症14例(25.00%),其中伤口感染3例(5.36%),尿路感染1例(1.78%),肺部感染1例(1.78%),术后出血3例(5.36%),吻合口瘘2例(3.57%),肠梗阻3例(5.36%),下肢静脉血栓1例(1.78%)。经积极的治疗与护理,患者术后并发症均得到有效控制。结论对盆腔廓清术后患者严密观察和有效的护理,有助于及时处理及预防并发症,从而促进患者康复。Objective To summarize the experience in nursing the postoperative complications in advanced cervical cancer patients having undergone pelvic exenteration.Methods 56 patients with advanced cervical cancer underwent the surgery of pelvic exenteration.Close observations and active treatment of postoperative complications were performed.Results The operation time for the 56 patients was 425~1,090 minutes,averaged 573.60±87.43 minutes.The blood loss was 250~3,500 mL,averaged 558.24±76.25 mL,and the length of stay was 9~35 days,averaged 18.26±3.89 days.Among the 56 patients undergoing pelvic exenteration,14 ones(25.00%)had complications,including wound infection in 3 cases(5.36%),pulmonary infection in 1 case(1.78%),urinary tract infection in 1 case(1.78%),postoperative hemorrhagein 3 cases(5.36%),anastomotic leakage in 2 cases(3.57%),bowel obstruction in 3 cases(5.36%)and venous thrombosis of the lower extremity in 1 case(1.78%),respectively.After the active treatment and nursing care,the patients with the postoperative complications were treated in a timely and effective manner.Conclusion The close observation and effective nursing management of patients undergoing pelvic exenteration can help reach timely treatment and complications prevention,promoting the rehabilitation of patients.

关 键 词：晚期宫颈癌 盆腔廓清术 并发症 术后 护理 

分 类 号：R473.71[医药卫生—护理学]