Intrathoracic esophagogastric reconstruction of Perioperative Nursing Care_0.docVIP

 PAGE \* MERGEFORMAT 7 Intrathoracic esophagogastric reconstruction of Perioperative Nursing Care [Keywords:] stomach, esophagus, surgery, and perioperative care, esophageal cancer, gastric cardia Esophagus and cardia cancer is one of our common, accounting for 23% of cancer deaths [1]. Thoracic surgery in gastroesophageal reconstruction is the main method of cure. The author of 82 patients with esophageal and cardiac thoracic reconstruction of the gastroesophageal care, understand: do perioperative surgical care is to ensure success, improve the cure rate, prevention of postoperative complications. in our hospital from 2001 to December 2007 were treated in the esophagus, 82 cases of cardiac , are as follows. 1 Clinical data The whole group 82 patients, 65 patients were male and 17 females, aged from 31 to 80 years, mean 56 years old. Diseases Category: cardiac in 12 cases, 70 cases of esophageal cancer. The whole group of patients underwent reconstruction of the intrathoracic stomach and esophagus, intraoperative one case of chylothorax after pulmonary infection in 2 cases, the entire group of patients were cured. 2 Preoperative Care 2.1 The psychological care of patients with normal preoperative eating for fear of not eating after surgery, resulting in varying degrees of anxiety. We carried out according to the psychological state of patients with patient and meticulous explanations [2], describes the need for surgery and surgical success cases, the confidence of patients and eliminate the psychological tension. 2.2 make all the preparations before surgery related to preoperative complete the necessary checks, correction of electrolyte disorders, enhance the body’s tolerance, preoperative gastroesophageal washing to reduce mucosal edema, which will help anastomotic healing. 3 post-operative care 3.1 After close observation of vital signs into ICU care routine 2 to 3 days, continuous monitoring of temperature, pulse, respiration, b