摘要
目的总结新生儿腹股沟嵌疝围手术期的护理要点,提高新生儿腹股沟嵌疝手术治愈率,降低术后并发症的发生。方法分析我院1999～2006年收治的34例新生儿腹股沟嵌疝患儿的护理记录及临床资料,总结新生儿腹股沟嵌疝围手术期护理要点。结果34例新生儿腹股沟嵌疝患儿,2例肌注镇静剂后体检时自行复位,Ⅱ期手术治愈。急诊手术32例,8例发生肠管坏死而行了肠切除肠吻合术。术前合并新生儿肺炎7例,新生儿硬肿症1例。经积极抗感染、营养支持、保暖等治疗,30例均在术后7～8d康复出院,2例因术后合并并发症放弃治疗后死亡。结论新生儿腹股沟嵌疝是小儿外科的常见急症,早诊断、早治疗及正确的围手术期护理,是新生儿腹股沟嵌疝治疗的关键。
Objective To summarize the perioperative care of neonatal inguinal incarcerated hernia and to improve the surgery cure rate, reduce the incidence of postoperative complications. Methods Thirty-four admitted neonatal patients with inguinal incarcerated hernia containing the records and clinical care were analysised in our hospital within 1999-2006, and newborns inguinal incarcerated hernia perioperative nursing was summed up. Results Of 34 cases of newborn children with inguinal incarcerated hernia, 2 cases with tranquilizers injection were observed reduction after a medical examination and cured with 2nd operation. Thirty-two cases under emergency surgery, eight cases occurred intestinal necrosis and fixed with a bowel resection anastomosis. Preoperative combined neonatal pneumonia occurred in 7 cases, 1 neonatal scleredema. With aggressive anti-infection, nutrition support, and warming,30 cases were discharged on 7-8d after operation and 2 cases with complications were dead after giving up treatment. Conclusion Neonatal inguinal incarcerated hernia surgery is a common pediatric emergency. Early diagnosis and proper perioperative care are the key to the treatment of neonatal inguinal incarcerated hernia.
出处
《重庆医学》
CAS
CSCD
2007年第15期1478-1478,1480,共2页
Chongqing medicine
关键词
新生儿
腹股沟嵌疝
护理
neonatal
inguinal incarcerated hernia
care
