摘要
为总结结直肠癌术后肠梗阻患者的动态观察及护理的经验，提高治愈率，对结直肠癌术后肠梗阻23例的临床资料进行分析。其中结肠癌、直肠癌根治术分别为8例和15例。术后动态观察项目主要包括腹胀、腹痛、呕吐、腹部压痛及肌卫、不对称腹胀、腹部包块及腹腔积液；护理内容主要包括早期翻身、下床活动，腹部切口护理，胃管、腹腔引流管护理，灌肠，输液，心理护理，腹部物理治疗及护理，使用促肠动力学药物过程中的护理等。结果表明，结直肠癌对术后肠梗阻患者，认真观察病情变化，细致护理，对促进肠梗阻的缓解、缩短疗程、预防由早期炎性肠梗阻转变为绞窄性肠梗阻，及时发现手术指征都有相当重要的作用。
The clinical data of dynamic observation ＆ nursing of 23 patients who had undergone surgical operation for colorectal carcinoma were retrospectively analized in an attempt to summarize experience and help raise cure rate. Of the 23 cases,8 underwent radical resection of colon carcinoma, and 15 of rectal carcinoma. The items for postoperative dynamic observation included abdominal distension, abdominal pain, vomit,abdomical pressure sore ＆uscular tension,asymmetrical abdominal distensiong of abdominal mass and abdominal hydrocele. The nursing items included early turn over, walking, nursing of incision wound, nursing of stomach tube, nursing of intraperitoneal drainage, enema, transfusion. psychological nursing, physical treatment ＆ nursing and nursing of dynamic drug medication. It is concluded that such dynamic observation and nursing is of important impact in relieving disease and shortening disease course,in preventing early inflammatory intestinal obstruction changed into strangulated intestinal obstruction and in identifying opeation indications.
出处
《中国肛肠病杂志》
2007年第10期30-32,共3页
Chinese Journal of Coloproctology
关键词
结直肠肿瘤
肠梗阻
护理
围手术期
Colorectal neoplasm Intestinal obstruction
Nursing
Perioperative period
