128 cases of intussusception in children Perioperative Nursing.docVIP

 PAGE \* MERGEFORMAT 6 128 cases of intussusception in children Perioperative Nursing Of: Yucui Feng, Li Ling, Wang Hong, Yang Longjuan, Bing Xia [Keywords:] in children, intussusception, surgery, nursing Intestinal intussusception is part of its corresponding set into the adjacent mesenteric intestine of a bowel obstruction is a common surgical acute abdomen in children, more common in obese infants less than 1 year of age. Clinically by paroxysmal crying, vomiting , jam-like it and its typical symptoms of abdominal mass, if not attended to, the intestinal ischemia, necrosis, resulting in perforation, direct threat to the lives of children. our department from April 2003 to April 2008 were treated in 128 children with intussusception, the active treatment, intensive care, patients were cured, satisfactory results are reported as follows. 1 Clinical data 128 cases of children in this group, male 81 cases, 47 cases of women, aged 28 days to 2 years old, lt;1 year old 103 cases. Of which 41 underwent surgical reduction, 81 patients with intestinal necrosis lines of intestinal resection and anastomosis, 6 cases enterostomy, 3 months later two intestinal anastomosis. 2 nursing 2.1 Preoperative Care 2.1.1 Psychological Care Nurses should be proactive in talking with parents of children, in plain language to explain the choice of surgery and anesthesia programs, as much as possible to eliminate fear, tension, anxiety, gain their trust, and enhance their confidence. For infants children, due to changes in the environment is sensitive and can not use language to communicate, so the course of treatment in the nursing action should be gentle, to moderate the language, and continue to touch the children, that have had a sense of security, can be pleased with the treatment. 2.1.2 Gastrointestinal preparations For younger children, gastrointestinal function is not fully developed well, should be strictly preoperative preparation, bid fast, f