126例漏斗胸患儿胸腔镜辅助行Nuss手术的术后护理

Postoperative care of 126 children with pectus excavatum receiving Nuss procedure with thoracoscope

报告了126例漏斗胸患儿在胸腔镜辅助下行Nuss手术的术后护理。护理重点包括:严密观察病情,及早发现和处理气胸、胸腔积液等并发症,做好疼痛管理、呼吸道护理,正确指导患儿进行康复训练,并做好出院宣教,以防支架移位。本组均顺利完成手术,无严重并发症发生。随访6个月至2年,除3例行二次Nuss术外,其余漏斗胸畸形矫治满意。

This paper introduces the nursing care of 126 children with pectus excavatum after Nuss procedure with thoracoscope. The key points in nursing were intensive observation of illness condition ,early detection and treatment of postoperative complications such as pneumothorax and pleural effusion,postoperative pain management,respiratory care,instruction on rehabili- tation training and discharge education. All the children underwent Nuss procedure successfully without severe postoperative complications. Three cases underwent secondary Nuss procedure and the other patients recovered well within the six months to two years of follow-up period.