胸腔镜下手术治疗先天性食管闭锁的配合体会

Experience of cooperation in the treatment of congenital esophageal atresia by thoracoscopic surgery

目的总结胸腔镜下手术治疗先天性食管闭锁的配合体会。方法选取2020年7月至2021年12月,新疆维吾尔自治区儿童医院的13例胸腔镜下手术治疗先天性食管闭锁的患儿实施术前访视、做好家属的心理护理,术中做好三方核查、管路管理、体温管理、体位管理、皮肤管理、手术器械、物品管理等,配合做好设备合理放置及手术站位管理等护理措施。结果本组13例患儿均在全身麻醉胸腔镜下顺利完成手术,安全、平稳地度过了手术期。结论胸腔镜下手术治疗新生儿先天性食管闭锁术以其良好的美容效果、术后并发症少而越来越被人们接受;手术室护士做好充分的术前准备、及时的术中评估,娴熟的手术配合,保障了手术顺利进行并提高了手术配合质量。

ObjectiveTo summarize the experience of cooperation in the treatment of congenital esophageal atresia by thoracoscopic surgery.MethodsFrom July 2020 to December 2021,13 cases of children with congenital esophageal atresia treated by thoracoscopic surgery in the Children's Hospital of Xinjiang Uygur Autonomous Region were selected for preoperative visit,psychological care for their families,and tripartite inspection,pipeline management,body temperature management,body position management,skin management,and surgery during the operation.Equipment and item management,etc.,and cooperate with nursing measures such as reasonable placement of equipment and management of surgical stations.ResultsAll 13 children in this group successfully completed the operation under general anesthesia and thoracoscopy,and passed the operation period safely and smoothly.ConclusionThoracoscopic surgery for neonatal congenital esophageal atresia is more and more accepted because of its good cosmetic effect and less postoperative complications;The operating room nurses make adequate preoperative preparations,timely intraoperative assessment,and skillful surgical cooperation to ensure the smooth operation of the operation and improve the quality of surgical cooperation.