Congenital hypertrophic pyloric stenosis on nursing.doc

 PAGE \* MERGEFORMAT 6 Congenital hypertrophic pyloric stenosis on nursing Congenital hypertrophic pyloric stenosis is due to pyloric ring muscle hypertrophy, hyperplasia, pyloric stenosis caused by mechanical pyloric obstruction, more common for the neonatal surgical diseases, due to pyloric stenosis, clinical manifestations were sprayed vomiting and right upper quadrant mass, there may be severe malnutrition, dehydration, aspiration pneumonia, the clinical practice as soon as possible and easy operation pyloromyotomy. 1. Clinical Data The group of 100 patients, male 81 cases, 19 females, male to female ratio of 4:1, the minimum age of 15 days, maximum 3 months, the average age of 43 days, postoperative complications in 2 cases, 1 case of nonunion incision, incision split open 1 case, now the preoperative and postoperative nursing care are summarized below. 2. Preoperative care 2.1 The admission test vital signs, measuring body weight, daily body temperature of the second test, measurement time 24 h before surgery urine temperature and the number of daily records. 2.2 Posture Low pupil to give the first of about 15 °, such as children with vomiting, immediately head to one side, to prevent accidental choking from the attraction. 2.3 reasonable feeding ① feeding to a small number, into the milk should not change clothes or move after the children, change diapers before feeding should be. ② hold after feeding children should be erected, pat the back for 15-20 minutes, so that air from the stomach to reduce vomiting. ③ into milk immediately stop vomiting after feeding, lateral position, elimination of oral and nasal secretions, so as to avoid choking or aspiration pneumonia. If severe cases, gastrointestinal decompression could be retained in order to reduce stomach gas accumulation. 2.4 warmth Most children as newborns, improve the nervous system, temperature regulation is poor, children with vomiting, weig