咽部毛息肉患儿的围手术期护理  

Perioperative nursing of 7 infants with pharyngeal hairy polyps

作　　者：盛美君[1] 裘妃 叶飞亚 朱丽娜 郑虹 诸纪华[3] SHENG Meijun;QIU Fei;YE Feiya;ZHU Lina;ZHENG Hong;ZHU Jihua

机构地区：[1]国家儿童健康与疾病临床医学研究中心/浙江大学医学院附属儿童医院SICU,杭州市310052 [2]国家儿童健康与疾病临床医学研究中心/浙江大学医学院附属儿童医院耳鼻咽喉头颈外科,杭州市310052 [3]国家儿童健康与疾病临床医学研究中心/浙江大学医学院附属儿童医院护理部,杭州市310052

出　　处：《中华急危重症护理杂志》2022年第3期253-256,共4页Chinese Journal of Emergency and Critical Care Nursing

摘　　要：总结7例咽部毛息肉患儿围手术期的护理经验。针对本组患儿发生低氧血症、呼吸道症状,喂养困难易反流、术后护理等问题,采取经鼻高流量湿化氧疗的管理改善低氧血症;执行个体化气道廓清治疗方案保持呼吸道通畅;给予患儿发育支持,包括提供充足的营养支持、主动预防反流误吸,做好以患儿为主导的喂养实践,积极改善患儿的营养状态;预防和处理咽部切口并发症、重视口腔护理及出院患儿的延续护理等措施。经严密监护和精准化管理,本组患儿术后3~7 d痊愈出院。随访中本组患儿均获得高质量的康复效果,未见毛息肉复发。To summarize the perioperative nursing experience of 7 infants with pharyngeal hairy polyps.In view of hypoxemia,respiratory symptoms,difficulty in feeding and regurgitation,postoperative nursing problems,the key points of nursing included:promptly correcting the hypoxemia by managing nasal high-flow humidifying oxygen therapy;keeping the unobstructed of respiratory tract and implementing airway clearance therapy;development support of infants which included adequate nutritional support,actively preventing reflux and aspiration,practicing iniant-driven feeding to improve the nutritional status;preventing and managing complications of phaiyngeal incisions,emphasizing oral care and continuous care for discharged children.After intensive care and precise management,all children were cured and discharged at 3~7 days postoperatively.During the follow-up,all the patients obtained high quality rehabilitation effect without recurrence of hairy polyps.

关 键 词：毛息肉 婴儿 围手术期 儿科护理学 

分 类 号：R473.76[医药卫生—护理学]