腹腔镜胆囊切除手术前后的护理及并发症的预防（Nursing and complication prevention before and after laparoscopic cholecystectomy）.docVIP

腹腔镜胆囊切除手术前后的护理及并发症的预防（Nursing and complication prevention before and after laparoscopic cholecystectomy） Nursing and complication prevention before and after laparoscopic cholecystectomy 1 nursing 11 preoperative care 1.1.1: psychological nursing of laparoscopic cholecystectomy (LC) has no obvious scar, little injury, less pain, quicker recovery, shorter hospitalization time, conducive to the preservation of image data and other advantages, has been recognized by the majority of patients, had intra-abdominal hemorrhage, possibility of bile leakage and other complications but laparotomy and after surgery, patients are often not very clear. The severe complications of LC include bile duct injury, bile leakage, bleeding, subcutaneous emphysema, jaundice, and pneumoperitoneum, which are the most common complications (right shoulder pain, subcutaneous emphysema). Therefore, nurses have the responsibility to help patients objectively and comprehensively understand the advantages and risks of laparoscopic surgery. Take the initiative to communicate, relieve the worries of patients, with the best attitude, combined with surgery and nursing, the mental state into active preoperative, and adapt to the operation in psychology and behavior, and promote physical and mental rehabilitation after surgery. Once transferred to open surgery, you can also get the understanding and cooperation of patients and their families. 1.1.2 skin preparation: because LC needs to be poked in the navel, so it is very strict to the skin preparation of the navel, it is necessary to completely remove the dirt inside the umbilicus, and also to ensure that the umbilical skin is intact. Where the umbilical fossa deep into blocks scab dirt, skin preparation are required before 5min implantation in the umbilical in Vaseline, to soften the dirt, wash with soap and water, and hydrogen peroxide cleaning swab, after treatment with 0.5% iodophor disinfection, as far as possible to reduce the umbilical infection.