1 case of early gastric cancer Endoscopic mucosal stripping nursing of postoperative perforation_0.docVIP

 PAGE \* MERGEFORMAT 8 1 case of early gastric cancer Endoscopic mucosal stripping nursing of postoperative perforation [Keywords:] early gastric cancer, mucosal stripping, perforation, nursing Mucosal dissection (endoscopic submucosal dissection, ESD) is a micro-treatment of early gastrointestinal cancer treatment technology innovation [1], it has less trauma, and good efficacy, but ESD is, after all, the treatment of invasive method, intraoperative and postoperative complications may occur, the main complications of abdominal pain, bleeding, perforation, infection, perforation of which the most critical. If the patient has occurred in the intraoperative perforation, in addition to conventional treatment for gastrointestinal decompression, accountable water fasting patients, the monitoring of patients is the focus of water fasting, patients are presented in the case of ESD perforation after gastrointestinal decompression and other measures have control of the disease, but were secretly drinking again perforation caused by surgical treatment must be transferred cases the hope that lessons learned from peers. 1 Clinical data Female patient, 37 years old, 3 years ago, no obvious incentive to abdominal pain, abdominal distention, with acid reflux, belching, especially under the xiphoid obvious, admission diagnosis: uplift of gastric lesions (gastric stromal tumors, chronic superficial gastritis . Zengyin past the line of iodine 131 treatment of hyperthyroidism. examination: vital signs, weight 45kg, belly flat, no gastrointestinal type and peristaltic wave, and no abdominal varicose veins, abdomen soft, whole abdomen without palpable mass, the sword penetration of the light tenderness, no rebound tenderness and muscle tension, liver and kidney area without percussion pain, shifting dullness negative, bowel sounds 4-6 times / min. improve after admission positively related to inspection, no surgical contraindications, the September 18, 2009 for gastric