Pancreatic cancer perioperative nursing_0.docVIP

 PAGE \* MERGEFORMAT 9 Pancreatic cancer perioperative nursing [Keywords:] pancreatic cancer; Perioperative; Care Radical pancreatic resection is the treatment of pancreatic and duodenal tumors only effective way [1], but its operation is complicated, multi-anastomosis, a long time, trauma, prone to postoperative complications, high mortality. to a certain degree of difficulty of care increased. skilled nursing care elements of the success of surgery plays an important role. our hospital from January 2007 to October 2009 pancreaticoduodenectomy in 22 cases of tumor resection , through the strengthening of perioperative care, results were satisfactory. now Perioperative Nursing summarized below. 1 Clinical data The B-22 patients, CT and magnetic resonance cholangiopancreatography diagnosed with pancreatic and other tumors. 16 cases were male and 6 female. Aged 35 to 68 years (mean 53.8 years). Clinical symptoms include: persistent upper abdominal pain and loss of appetite (each 85%), jaundice (82%), weight loss (38%). pancreaticoduodenectomy underwent radical surgery. Pathological diagnosis: 13 cases of periampullary carcinoma (duodenal, common bile duct and Oddi’s sphincter, respectively 5,6 and 2), 9 cases of pancreatic cancer patients were .22, except for 1 patient with postoperative bleeding twice, give up the treatment, the patient’s family The remaining patients had no biliary fistula, pancreatic fistula, abdominal infection, delayed gastric emptying, abdominal and upper gastrointestinal bleeding, complications and poor wound healing, recovery are good. 2 Care 2.1 Preoperative Care 2.1.1 Psychological Care pancreatic cancer patients before the psychological state of mind than other tumors before surgery is even worse. [2] In addition to surgery in patients with pancreatic cancer to patients of various degrees of anxiety than the fear , also due to abdominal pain, jaundice, weight loss history and other characteristics, so that patients