1例儿童先天性心脏病术后乳糜胸合并切口愈合不良的护理  

Nursing of a case of chylothorax with poor incision healing child after congenital heart disease surgery

作　　者：陈佩雯 CHEN Peiwen(Cardiac Intensive Care Unit,Xiamen Children’s Hospital,Fujian Province,Xiamen 351100,China)

机构地区：[1]厦门市儿童医院心脏重症监护室,福建厦门351100

出　　处：《妇儿健康导刊》2025年第4期127-130,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

基　　金：厦门市医疗卫生指导性项目(3502Z20224ZD1278)。

摘　　要：心脏外科术后发生乳糜胸会影响患儿预后,若同时伴有切口愈合不良的情况,会延缓患儿术后康复,延长住院时间,增加家庭的经济负担。为预防患儿不良情况的发生,进一步改善术后预后效果,需采取有效、合理的护理干预手段。给予先天性心脏病术后患儿营养支持尤为重要,实施多模式的镇痛管理,提高患儿舒适度,重视相关并发症的观察与护理,重视家庭、社会支持及延续护理等,能够提升患儿治疗、康复的效果。本文报道1例儿童先天性心脏病术后乳糜胸合并切口愈合不良的护理过程,通过采取针对性护理措施,从而改善患儿病情状况。The occurrence of chylothorax after cardiac surgery will affect the prognosis of the children.If it is accompanied by poor incision healing,it will delay the postoperative recovery of the children,prolong the hospital stay,and increase the economic burden of the family.In order to prevent the occurrence of adverse conditions in children and further improve the postoperative prognosis,effective and reasonable nursing interventions should be taken.It is particularly important to give nutritional support to children with congenital heart disease after surgery.Implementing multi-mode analgesic management,improving the comfort of children,paying attention to the observation and nursing of related complications,paying attention to family and social support and continuing care can improve the effect of treatment and rehabilitation of children.This article reports the nursing process of a child with chylothorax and poor wound healing after congenital heart disease surgery.Through taking targeted nursing measures,the condition of the child can be improved.

关 键 词：先天性心脏病 儿童 术后 乳糜胸 切口愈合不良 护理 

分 类 号：R473.72[医药卫生—护理学]