3 028 cases of laparoscopic cholecystectomy and nursing report.docVIP

 PAGE \* MERGEFORMAT 6 3 028 cases of laparoscopic cholecystectomy and nursing report [Keywords:] cholecystectomy, laparoscopic, nursing Laparoscopic cholecystectomy as trauma, little pain and quick recovery, relatively low cost, etc., has become the main form of cholecystectomy. Our hospital in August 2003 to August 2009 were performed Laparoscopic cholecystectomy in 3028 cases, are as follows. 1 Clinical data 1.1 General Information A total of 3028 patients in this group of patients, male 1538, female 1 490 cases. 183 cases of chronic cholecystitis, 99 cases of acute simple cholecystitis, chronic cholecystitis 2 603 cases, 143 cases of gallbladder polyps. 1.2 Results The group of 3028 patients were cured, 12 cases in which oral infection stamp (accounting for 0.396%, no bleeding, intestinal fistula and the occurrence of intestinal adhesion. After the day to get out of bed, into the liquid, the average length of stay 3 days. 2 Care 2.1 Preoperative preparation (A missionary hospital and mental education. Understanding mental patients and their families, introducing laparoscopic cholecystectomy advantages, indications and patient recovery similar to introduce sections of the people, the environment and precautions, so that patients and their families to familiarize themselves with departments and medical staff to eliminate the fear of patients, anxiety. (2 preoperative examination. preoperative routine to do blood, urine, stool, chest, liver, renal function and electrocardiogram, ultrasound examination. make room for cleaning, ventilation, ensure that the patient had a good rest. (3 skin preparation: umbilical clean with a cotton swab dipped in hydrogen peroxide or soft soap and then soak a cotton swab dipped in umbilical fossa dry, the scope of the traditional laparotomy skin preparation. (4 generally do not need regular Purchase catheter, into the operating room front Zhu Huanzhe urine. (5 30 min routine preoperative atropine 0