1例胰腺分裂症患儿行胰头整块切除术的快速康复护理  

Rapid rehabilitation nursing for one pediatric patient with pancreatic divisum undergoing en bloc pancreatoduodenectomy

作　　者：朱金凤 胡维书 唐黎[1] 蔡磊[1] 黄容[1] 黄乐春 郑蕊馨 曹靖[1] ZHU Jinfeng;HU Weishu;TANG Li;CAI Lei;HUANG Rong;HUANG Lechun;ZHENG Ruixin;CAO Jing(Department of Hepatobiliary and Pancreatic Surgery,the People′s Hospital Affiliated to Chongqing University,Chongqing,401147)

机构地区：[1]重庆大学附属人民医院肝胆胰腺外科,重庆401147

出　　处：《实用临床医药杂志》2025年第7期118-121,共4页Journal of Clinical Medicine in Practice

基　　金：重庆市技术创新与应用发展专项重点项目(CSTB2023TIAD-KPX0049-4);重庆市人民医院医学科研创新基金项目(Y2023HLKYZDXM03)。

摘　　要：本文总结1例胰腺分裂症患儿行保留十二指肠、胆总管、Oddi′s括约肌的胰头整块切除术(DCOPPHTR)的快速康复护理经验。护理包括术前预康复提升身心准备,术后精准容量和动态血糖管理、早期活动促进恢复、个性化营养支持改善营养状况、心理护理增强信心及家庭参与提高生活质量。术后患儿快速康复并出院,随访6个月显示生活质量显著提升。This article summarizes the rapid rehabilitation nursing experience for one pediatric patient with pancreatic divisum who underwent en bloc pancreatoduodenectomy preserving the duodenum,common bile duct,and Oddi′s sphincter(DCOPPHTR).The nursing care encompassed preoperative prehabilitation to enhance physical and psychological preparation,postoperative precise volume and dynamic blood glucose management,early mobilization to facilitate recovery,personalized nutritional support to improve nutritional status,psychological nursing to bolster confidence,and family involvement to enhance quality of life.The pediatric patient experienced rapid recovery and was discharged from the hospital.A six-month follow-up indicated a significant improvement in quality of life.

关 键 词：胰腺分裂症 胰头整块切除术 快速康复护理 精准容量管理 动态血糖监测 营养支持 心理护理 家庭参与 

分 类 号：R473.5[医药卫生—护理学] R726.5[医药卫生—临床医学] R576