1例先天性腹裂伴疟疾和心脏病早产儿的围手术期护理  

Perioperative nursing care for a premature infant with congenital gastroschisis,malaria,and heart disease

作　　者：梁娟娟 杨晓霞 省晓琴 埃利·吉恩 贺逢孝 LIANG Juanjuan;YANG Xiaoxia;XING Xiaoqin;Elie JEAN;HE Fengxiao

机构地区：[1]甘肃中医药大学附属医院感染性疾病科,兰州市730000 [2]兰州市肺科医院手术麻醉科 [3]马达加斯加安德鲁伊区中心医院外科 [4]兰州大学第二医院心脏外科

出　　处：《中华护理杂志》2025年第4期460-463,共4页Chinese Journal of Nursing

摘　　要：总结援非医疗中1例先天性腹裂伴疟疾和心脏病早产儿的围手术期护理经验。护理要点:术前观察和保护脱出的肠管,预防肠损伤及感染,并及时识别和处理心律失常、急性缺氧发作;术中密切监测生命体征,配合医生制作“人工腹腔”;术后加强病情观察及腹内压监测,规范用药、合理输血,以预防腹裂修复术相关并发症、控制疟疾相关症状,同时给予营养支持,并加强健康宣教。经多学科团队的协作诊治和精心护理,2周后患儿好转出院。术后2个月随访,患儿喂养正常,手术切口愈合良好,无急性缺氧发作,心前区仍可闻及收缩期杂音。This paper summarizes the perioperative nursing experience of a premature infant with congenital gastroschisis accompanied by malaria and heart disease during a medical aid mission in Africa.Nursing key points include:preoperative observation and protection of the protruding intestines to prevent intestinal injury and infection,timely identification and management of arrhythmias and acute hypoxic episodes;intraoperative close monitoring of vital signs and assisting the surgeon in creating an"artificial abdominal cavity";postoperative intensification of condition monitoring and intra-abdominal pressure surveillance,standardized medication administration and rational blood transfusion to prevent complications related to gastroschisis repair,and to control malaria-related symptoms,while providing nutritional support and reinforcing health education.Through collaborative diagnosis and treatment by a multidisciplinary team along with meticulous nursing care,the infant showed improvement and was discharged after 2 weeks.A follow-up visit 2 months postoperatively revealed normal feeding,good surgical wound healing,no recurrence of acute hypoxic episodes,and a persistent systolic murmur auscultated over the precordium.

关 键 词：腹裂 疟疾 心脏病 早产儿 围手术期护理 

分 类 号：R473.72[医药卫生—护理学]