After total gastrectomy with acute volvulus secondary to Perioperative Nursing.docVIP

 PAGE \* MERGEFORMAT 8 After total gastrectomy with acute volvulus secondary to Perioperative Nursing [Keywords:] total gastrectomy with acute volvulus secondary to perioperative nursing Total gastrectomy for the treatment of the general body and cardia gastric cancer gastric area. The reconstruction of the digestive tract important for reducing the value of postoperative complications. Of digestive tract reconstruction after long-term secondary acute volvulus, intestinal necrosis is very rare clinically, there were only sporadic cases reported [1]. This study of six cases of total gastrectomy with secondary acute volvulus and intestinal necrosis perioperative nursing experience summarized and reported as follows. 1 Materials and Methods 1.1 General Information Shaoxing City People’s Hospital from May 2001 to November 2008 after total gastrectomy were treated with secondary acute volvulus, intestinal necrosis in patients with 6 cases, including 5 males, females in 1 case. Age 54 ~ 72 years old, with an average (58.46 ± 11.62) years of age. 6 patients have a history of total gastrectomy surgery, the incidence of time to treatment admission 1 ~ 18 h, an average of (4.72 ± 2.15) h; admission to the shortest operative time was 1 h, up to 12 d. The main clinical manifestations were abdominal pain and distension, accompanied by Chen-onset pain in 5 cases, continuous severe pain in 1 case. Were six cases of anal stop defecation exhaust, accompanied by nausea, vomiting, 5 cases, 1 case of coffee-like vomit. 6 cases of varying degrees of abdominal uplift partial or total abdominal and abdominal tenderness, abdominal shifting dullness two cases, there are bowel sounds hyperactive four cases of gas over the water sounds, there are bowel sounds diminished or disappeared in 2 cases. Physical examination: X ray KUB intestine were prompted more than the gas-liquid plane sizes and found that egg-shaped park one cases of large bowel loops. Abdominal B-ultrasonography in 4