改良Nuss手术矫治先天性漏斗胸15例围术期护理

Perioperative nursing care in the treatment of 15 patients with pectus excavatum with modified Nuss surgical procedure

目的：探讨改良Nuss手术治疗先天性漏斗胸围术期的护理方法。方法：对15例先天性漏斗胸患儿行改良Nuss手术，围术期给予持续动脉压监测、呼吸道管理、心电监护、康复计划、出院指导等。结果：本组手术均顺利进行，术中无并发症发生。手术时间30～50min，术中平均出血量小于10ml，术后住院5～8d，平均6d。术后早期并发气胸1例，无晚期并发症发生，均经精心围术期护理后痊愈出院。本组术后手术效果均优良。随访2～36个月，畸形矫正，外观满意。结论：对先天性漏斗胸患儿行改良Nuss手术，并给予精心围术期护理，可缩短手术时间，减少并发症的发生，有利于患儿康复。

Objective： To explore methods of perioperative nursing care in the treatment of pectus excavatum with modified Nuss surgical procedure. Methods：Fifteen children with pectus excavatum were treated with modified Nuss surgical procedure. Perioperative nursing measures were applied, such as continuous monitoring of arterial blood pressure, management of respiratory system,ECG monitoring and making rehabilitation plan and instruction for discharged patients. Results ： The operations were all successful and no complication occurred in the operation. The time of operation was from 30 -50 minutes. The average blood loss was less than 10ml. The duration of hospitalization was 5 - 8 days and averagely 6 days. There was no postoperative complication except that one case developed pneumothorax and the patient recovered by percutaneous aspiration. Therapeutic outcome was satisfactory by following up for 2 to 36 months. Conclusions ： Modified Nuss surgical procedure combined with careful perioperative nursing care can shorten the time of operation, reduce the incidence of complication and promote recovery of the children.