22 cases of esophageal cancer patients with perioperative nursing experience.docVIP

 PAGE \* MERGEFORMAT 3 22 cases of esophageal cancer patients with perioperative nursing experience Esophageal cancer is a common digestive tract cancer, the incidence and mortality vary greatly countries. China is one of the high incidence of esophageal cancer. Perioperative patient care to enhance the success of surgery is very important. Our hospital from January 2008 to March 2010 22 cases of esophageal cancer patients were treated, do perioperative care, and good results, now nursing reported as follows. 1 Clinical data The group of 22 patients, 20 males and 2 females, aged 40-70 years, mean age 52 years, 22 patients were done radical surgery of esophageal cancer. 2 Preoperative Care 2.1 Psychological care of patients with esophageal carcinoma tend to be home eating difficulties and weight loss, anxiety. Should be more communication with the patient’s family to understand the patient and family awareness of the disease, patient and given psychological counseling. 2.2 The consumption of food and reasonable care and that patients with high calorie, high protein, vitamin-rich liquid or semi-liquid diet, observed eating reflected. 2.3 to prepare the digestive tract to maintain oral hygiene, with daily admission of metronidazole Los liquid mouthwash. Eat the night before surgery water, and clean enema, the amount of tube left on the morning of surgery, gastric tube into the poor, it can not force it, site of obstruction can be placed on top. 3 post-operative care 3.1 diet nursing a mild after 3 to 4 ports in the congestion and edema of the patient strict water consumption, and continued for the atmospheric and vacuum, waiting to be anal and pull the tube, first try to drink a little water, without discomfort again Eat small amounts of liquid. after 6 days without discomfort can enter rice soup, fish soup and other liquid diet every 3 hours 1 times, each time 100ml, 7 days egg soup, porridge-based, each 200ml, ever