Nursing care of children with acute intussusception.doc

Nursing care of children with acute intussusception [Keywords:] pediatric nursing acute intussusception Intussusception in children, most cases of simple obstruction by the development of the process of strangulation obstruction, the lack of typical clinical presentation, and the poor expression of infants and young children, abdominal pain, can not accurately position and nature, weak abdominal muscles, anatomy of the abdominal wall so thin and so not typical of peritoneal irritation, cardiac sympathetic dominance, while not yet complete development of the vagus nerve, the lower excitability of the heart contraction frequency and intensity of inhibition is weak, so the heart rate faster, and easy to acceleration. all kinds of imaging studies, only the intestinal loop can be displayed flatulence, gas-liquid surface and so the performance of early intestinal obstruction and thickening of the intestinal wall and intestinal clearance. Acute abdomen in children with intussusception is the most common pediatric disease, more common in infants under the age of 2 to 5 to 10 months, the highest incidence in children. Our hospital from 2004 to 2008 were treated in pediatric intestinal 56 cases of intussusception, now nursing are described below. 1 Clinical data The group of 34 patients suffering from male and female patients, 22 cases of non-surgical treatment of children with 32 cases, the treatment of 24 cases. 2 before and after surgery care 2.1 Preoperative Care Because children can not immediately surgical treatment, children with vomiting, bowel obstruction caused by expansion of intestinal ischemia, intestinal permeability increased, large amounts of water and electrolytes into the intestine, resulting in blood concentration, water loss, electrolyte imbalance. Therefore, the technique the former should be given rehydration therapy, supplemented blood volume. preoperative oxygen tube ready, monitoring equipment and other materials