甲状腺动脉栓塞联合机器人手术治疗儿童甲亢的护理:国内首例  

Nursing experience of thyroid artery embolization and robot-assisted thyroidectomy in treating children with hyperthyroidism:the first report of China

作　　者：谭琼琼 王爱敏 明珊珊 李燕宁 TAN Qiongqiong;WANG Aimin;MING Shanshan;LI Yanning(Department of Thyroid and Breast Surgery,the 960th Hospital of the PLA Joint Logistics Support Force,Jinan 250031,China)

机构地区：[1]中国人民解放军联勤保障部队第九六〇医院甲状腺乳腺外科,山东济南250031

出　　处：《机器人外科学杂志（中英文）》2023年第4期360-364,共5页Chinese Journal of Robotic Surgery

基　　金：济南市临床医学科技创新计划(202019010)。

摘　　要：目的:总结儿童甲亢行甲状腺动脉栓塞术+机器人甲状腺手术的相关护理方法,为护理工作者提供经验,提高临床护理质量。方法:回顾性分析中国人民解放军联勤保障部队第九六○医院甲状腺乳腺外科于2022年7月4日收治的1例儿童甲亢患者的临床资料,术前做好专科评估、用药护理、心理护理、体位锻炼等准备;术后做好甲状腺动脉栓塞的护理、基础护理、疼痛护理、功能锻炼以及并发症的观察及护理;做好出院相关健康宣教等。结果:经过27d的治疗及精心的护理,患者康复出院。结论:做好术前准备及评估、术后精密细致的护理工作可加速患者的康复,满足甲状腺切除术患者的美容需求,值得临床学习及推广。Objective:To summarize the relevant nursing methods for children with hyperthyroidism undergoing thyroid artery embolization+robot-assisted thyroidectomy,aiming to provide experience for nursing staff and improve the nursing quality of such surgeries in the future.Methods:The clinical data of a child with hyperthyroidism admitted to the Department of Thyroid and Breast Surgery,the 960th Hospital of the PLA Joint Logistics Support Force on July 4,2022 were analyzed retrospectively.The preparation of specialist assessment,medication care,psychological care,and position exercise was made before surgery.Nursing of thyroid artery embolization,basic care,pain care,functional training,and complications observing and nursing were made after surgery.Discharge education were performed before discharging.Results:After 27 days of treatment and careful nursing,the patient recovered and discharged.Conclusion:Good preoperative preparation and evaluation,precise and careful nursing after surgery could accelerate the recovery of patients and meet their beauty needs,which is worthy of clinical promotion.

关 键 词：儿童 甲亢 动脉栓塞术 机器人辅助手术 甲状腺全切除术 护理 

分 类 号：R608[医药卫生—外科学] R581.1[医药卫生—临床医学] R653