腹腔镜胃癌根治术后并发症分析和护理对策.pdfVIP

1086 重庆医学2008 年5 月第37 卷第 10 期 饶 芸, 李雪玲, 骆 群, 徐 萍, 赵永亮, 雷 晓, 余佩武 ( 第三军医大学西南医院普通外科, 微 外科治疗中心, 重庆400038) : 分析腹腔镜胃癌根治术后并发症的原因, 探讨护理对策, 指导腹腔镜胃癌根治术患者的护理 对2004 年3 月至2007 年9 月腹腔镜手术组339 例胃癌患者进行分析 术后30 例发生了并发症, 发生率为8. 85% ( 30/ 339) , 有2 例出现围手术期死亡, 其余发生术后并发症的患者经治疗后均治愈出院 腹腔镜胃癌根治术相对传统开腹手术而言具有 伤小术后恢复快等优点, 加强术后病情观察引流管的管理和基础护理是腹腔镜胃癌根治术患者围手术期护理的关键 : 腹腔镜手术; 胃癌; 并发症; 护理 : R735. 2; R730. 56 : A : 1671- 8348( 2008) 10- 1086-02 Analysis and nursing intervention of complications after laparoscopy-assisted radical gastrectomy RA O Yun,LI X ue-ling , L UO Qun, et al. (Dep artment of General Surgery and enter of Minimal I nv asiv e Gastrointestinal S urgery , Southw est H osp ital, The Third Military Medical University , hongqing, 400038, hina) Abstract:Objective T o guide nursing are by analyzing the ause and exploring the nursing approa h of the om pli ations aft er laparos opy-assisted radi al gastre tomy. Methods A total of 339 ases who underw ent laparos opy-assisted radi al gastre tom y from M ar h 2004 t o September 2007 were analyzed. Results 30 ase had ompli ations after the surgery pro edure and 2 lients were died during the operative period and the ot her 26 ases w ere in good re overy and dis harged. Conclusion Laparos opy-assis- ted radi al gastre tomy is minima-l invasive and an lead to qui k postoperative re overy by omparing w ith open surgery. Carefully monitoring vital signs, good drainage tube management and reliable basi nursing are is the key to qui k re overy of the lients w ho underwent laparos opy-assisted radi al gast re tomy . Key words: laparos opy surgery; gastri an er; ompli ation; nursing are , , , 2 , 1 , ,