磁压迫腹主动脉阻断系统应用于宫颈癌患者的手术配合  

Application of a novel magnetic compression device for blocking the abdominal aorta in cervical cancer surgery:intraoperative nursing care

作　　者：韦延强[1] 车菁 成小燕[1] 李奇灵[2] 赵蓝波 王浩华[3] Wei Yanqiang;Che Jing;Cheng Xiaoyan;Li Qiling;Zhao Lanbo;Wang Haohua(Operating Room,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China)

机构地区：[1]西安交通大学第一附属医院麻醉手术部,陕西西安710061 [2]西安交通大学第一附属医院妇产科,陕西西安710061 [3]西安交通大学第一附属医院精准外科与再生医学国家地方联合工程研究中心,陕西西安710061

出　　处：《护理学杂志》2023年第12期47-49,共3页Journal of Nursing Science

基　　金：西安交通大学第一附属医院科研项目(2022ZYTS-22)。

摘　　要：目的总结磁压迫腹主动脉阻断系统应用于宫颈癌患者的手术配合经验,为相应手术护理配合提供参考。方法对15例宫颈癌患者于全麻下行广泛全子宫+双附件+盆腔淋巴结清扫术,术中采用磁压迫阻断腹主动脉;做好术前准备及磁压迫腹主动脉阻断系统调试,标准化体位管理及全术程严格磁体管理等。结果15例患者顺利完成手术,术中出血量250(150,400)mL;术后住院6(4,10)d临床治愈出院。结论磁压迫腹主动脉阻断系统用于术中止血效果良好;精准高效的手术配合是手术成功的重要保障。Objective To summarize the experience of use of a novel magnetic compression device for blocking the abdominal aorta in cervical cancer surgery and to provide reference for intraoperative nursing care.Methods Fifteen women with cervical cancer were underwent extensive hysterectomy,bilateral adnexectomy,and pelvic lymph node dissection under general anesthesia.Magnetic compression device was used to block the abdominal aorta in the operation.The experiences in care included pre-operative preparation and testing of the device,standardized management of surgical position,and rigorous supervision of the magnets.Results All patients successfully completed the operation.The median volume of bleeding was 250 mL(the inter-quartiles:P 25=150;P 75=400).The median post-operative length of hospital stay was 6(4,10)d.Conclusion The magnetic compression device has satisfactory effect on prevention of bleeding in surgery.Precise and efficient intraoperative care is of significance for successful surgeries.

关 键 词：宫颈癌 子宫切除 开腹手术 磁压迫腹主动脉阻断系统 手术配合 

分 类 号：R473.71[医药卫生—护理学]