摘要
目的：探讨长段型食管闭锁患儿食管端端吻合术后早期监护方法。方法：回顾总结2015年1月~2016年10月食管端端吻合术后早期监护的6例长段型食管闭锁病例,监护重点包括镇静状态下的绝对制动体位、呼吸道管理、胃管固定、并发症的观察及护理等。结果：6例患儿术后监护期间均未出现吻合口瘘和吻合口狭窄,恢复良好,顺利度过术后危险期。结论：食管端端吻合的长段型食管闭锁患儿术后5 d的早期监护非常重要,对提高患儿术后存活率和减少并发症发生起到至关重要的作用。
Objective： To discuss the early post- operation monitoring method of esophagus end- to- end anastomosis for pediatric patients with long- segment esophageal atresia. Methods： A review and summary was made on 6 cases of long- segment esophageal atresia with early post- operation monitoring of esophagus end- to- end anastomosis from January 2015 to October 2016,and the monitoring mainly included absolute braking position under sedation state,respiratory tract management and complication observation and care etc. Results： No anastomotic fistula and anastomotic narrowing for the 6 cases of pediatric patients during the post- operation monitoring,with good recovery,and they passed through the post- operation critical stage. Conclusion： The early monitoring for 5d of the pediatric patients with long- segment esophageal atresia receiving end- to- end anastomosis was very important,which played an important role to improve the post- operation survival rate of pediatric patients and reduce the occurring of complications.
作者
张小兰
陈孝颖
聂娇
ZHANG Xiao - lan CI-IEN Xiao - ying NIE Jiao(Jiangxi Provincial Children＇ s Hospital, Nanehang 33000)
出处
《护理实践与研究》
2016年第24期46-47,共2页
Nursing Practice and Research
关键词
先天性
食管闭锁
吻合术
监护
Congenital
esophageal atresia
Anastomosis
Nursing
