先天性巨結腸.pptVIP

先天性巨结肠症(Congenital Megacolon);孙银丽责任护士汇报病史;简要病史：;入院查体：; 手术及治疗： 入院后予完善各项辅助检查，肠道准备就绪后，于2016年12月6日7：45在全麻下行“金陵术”，术毕于14：50安返病房，神志清，呼吸平稳，患者切口敷料外干燥，腹带包扎，带出PCA镇痛泵一个，胃管、腹腔双套管，尿管均妥善固定，引流通畅。术后遵医嘱予一护、禁食、心电监护、吸氧、抗感染、止血、补液、营养支持等治疗。;护理诊断与问题;术前护理诊断/问题; 2010年4月7日在全麻+硬膜外麻醉下行“横结肠癌根治术”;术后护理诊断/问题;术后护理诊断/问题;术后护理诊断/问题; 3、禁食期间采用全胃肠外营养，做好深静脉置管护理，保证输液通畅。 4、恢复饮食后给予高热量、高蛋白、丰富维生素、低渣饮食。 效果评价：至2010-4-16患者出入液量平衡，血电解质正常，体重较入院时减轻2Kg。;术后护理诊断/问题;术后护理诊断/问题;定义;历史;历史;历史（国内）;;发病率;发病率;病因学;病因学;病因学;病因学;病因学;;;;病因学;主要合并畸形 脑积水，先天愚型，甲低，肠旋转不良 内疝，直肠肛管闭锁，隐睾，唇裂 肺动脉狭窄，马蹄内翻足，肾积水等;病理;;;;;;病理生理 ;病理生理;分型;临床表现;临床表现;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;并发症;诊断;诊断;治疗;治疗;术前准备;鉴别诊断;预后;预后;各种术式术后早期并发症发生率（%）（6758例）;各种术式术后晚期并发症发生率（%）（4873例）;国内1904例中随访1017例的并发症（各种术式）;;;;;;;;;;;;;;;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 As