先天性巨结肠腹腔镜Soave改良根治术的护理

The nursing of laparoscopic Soave pull-through procedure for congenital megacolon

目的:总结新生儿及小婴儿先天性巨结肠症腹腔镜Soave改良根治术的护理。方法:为患儿做肠道准备,及术后生命体征监测、病情观察、营养支持、肛门护理,出院指导。结果:37例患儿均在术后第1d开始喂水,术后应用抗菌药物2～5d,平均3d。输液3～5d,平均4d,腹部切口愈合好,无感染,术后6～10d出院,平均住院7d。近期随访效果良好。结论:腹腔镜手术后患儿进食早,输液及抗菌药物应用时间短,住院时间短,创伤小,康复快,腹部瘢痕小,外观美观,而手术前后精心护理,是保证手术成功的关键。

Objective：To summarize the clinical nursing of laparoscopic Soave pull-through procedure for congenital megacolon in newborns and small infants.Methods：Bowel preparation for the newborn infants,and postoperative vital signs monitoring,condition observation,nutritional support,anus care,discharge guide. Results：All patients were feeded water in the firstday after operation; antibiotics were used within 2-5 days（average 3 days）;intravenous fluid wasgiven for 3-5 days（average 4 days）.Hospitalization time afteroperationwas 6-10 days（average 7 days）.The small abdominal incisionsrecovered better.Good effectwas found by shortperiod follow-up.Conclusion：Laparoscopy has more superiority such as earlier foodintake,shorter time of intravenous fluid,antibiotics and hospitalization,smaller trauma,faster recovery. Preoperative and postoperative care the are key to ensure the success of the operation.