Hysteroscopic endometrial resection of perioperative nursing.docVIP

 PAGE \* MERGEFORMAT 7 Hysteroscopic endometrial resection of perioperative nursing [Keywords:] Hysteroscopy Our hospital from July 2002 to December 2005 to carry out resection of the endometrium in 67 cases, satisfactory results, we now report as follows perioperative nursing. 1 Clinical data 1.1 General information on 67 cases of abnormal uterine bleeding in patients aged 36 to 55 years, mean age 45.9 years. Generally menstrual disorders, menstruation, the volume increased, the out-line treatment of symptoms did not improve, after closing hospital diagnosed as functional uterine bleeding were. preoperative mood, brain, lung function impairment, no fertility requirements, except all malignant tumors. 1.2 Methods for the epidural anesthesia group, anesthesia after successful bladder lithotomy position taken with sterile gloves and remove the cervical dilation rods, regular disinfection, together with the appropriate use of hysteroscopic resection coagulation machine, Cut the power transferred to 80W, coagulation raised 40 ~ 60W, surgeon vagina speculum, and then disinfected a second, regular number from 5 to 9.5-by-numbers cervical dilatation, connected to perfusion catheter, to maintain a certain expansion Palace pressure, stretching resectoscope started. perfusion with 5% glucose solution, irrigation flow rate of 200 ml / min, the amount is about 2000 ~ 3000ml of uterine distention pressure 80mmHg, water negative pressure 80mmHg. surgical time 20 ~ 30min, blood loss 25 ~ 40ml. Perioperative Nursing 2 2.1 preoperative care (1 psychological care: nurses should be different for patients and their families were given to the patient and meticulous about the advantages and disadvantages of this procedure, the reliability of such surgical procedures and clinical development situation, detailing the surgical procedure, time , anesthesia method, the lifting of the concerns of patients to alleviate the psychological burden of patients to obtain the