探讨腹部损伤肠破裂病人的手术护理方案.docVIP

精品论文 参考文献 探讨腹部损伤肠破裂病人的手术护理方案 芦山县人民医院 ；四川雅安625600） 摘要 目的 探讨腹部损伤肠破裂病人的手术护理方案，以达到及时治疗，及时手术，有效地控制感染，减少并发症发生，提高肠破裂的诊断率和治愈率的目的。方法 回顾性分析我院外科2012年1月—2015年12月收治的腹部损伤伴肠破裂病人共20例的手术前后的护理过程，提出最佳的护理方案，为以后护理此类病人提供可靠依据。结果20例肠破裂患者中，有16例治愈出院。其中有2例直肠破裂进行了二期手术，效果满意。有1例患者因野猪咬伤腹部，使腹部开放暴露6小时，因暴露时间太长，手术最佳时期已过，没有及时手术治疗，出现全腹膜炎，全身中毒，术中见大部份肠管已坏死，行肠管切除术肠管吻合术。术后出现了肠瘘，使治疗过程延长；有1例患者因合并严重挤压伤，入院后行手术治疗，但因病性危重，抢救无效而死亡。结论救治腹部损伤患者，严密切观察病情变化，配合医生作好各种检查，尽早确诊，及时手术，及时抢救，是挽救患者生命，降低死亡率的关键。 关键词 腹部损伤 ；肠破裂；护理 Discussion intestinal rupture abdominal trauma patient surgical care programs Li Shaoying Lushan County Peoples Hospital of Lushan County, Yaan City, Sichuan Province Zip code 625 600 Abstract:[Objective] To investigate the intestinal rupture abdominal trauma patient surgical care programs in order to achieve timely treatment, timely surgery, effectively control the infection, reduce complications and improve intestinal rupture purpose of diagnosis and cure rate of. [Method] A retrospective analysis of our hospital surgical January 2012 - December 2015 admitted abdominal injuries with intestinal rupture process of patient care before and after surgery in 20 patients, and propose the best care plan for the future care of such patients to provide reliable basis. [Results] 20 cases of intestinal rupture patients, 16 patients were cured and discharged. There were two cases of rectal rupture secondary operation, results were satisfactory. One patient due to wild boar bites the abdomen, the abdomen open exposed for 6 hours due to long exposure time, the best time surgery is over, there is no timely surgical treatment, there peritonitis, systemic poisoning, bowel surgery see a large part has been necrosis, bowel resection line bowel anastomosis. Postoperative intestinal fistula that extended treatment; one patient with severe crush injuries due to admission underwent surgery, but of critical illness, died a death. [Conclusion] The treatment of patients with abdominal injuries, serious close observation of changes