内镜下小儿上消化道异物取出术26例的护理

Nursing for 26 children with endoscopic removal of foreign body in the upper gastrointestinal tract

目的总结26例内镜下小儿上消化道异物取出术的护理方法。方法对26例行内镜下上消化道异物取出术的患儿进行护理,术前掌握好适应证、做好术前准备,术中掌握配合技巧、与医生密切配合,术后严密观察患儿病情、重视饮食指导及健康教育。结果 26例上消化道异物患儿中有25例经内镜将异物成功取出,成功率为96%,另1例因贲门部金属丝嵌入肌层未取,转上级医院治疗。25例成功取出异物的患儿均在清醒状态下完成治疗,无1例发生并发症。结论内镜是治疗上消化道异物的首选处理方法,有效的护理是内镜下小儿上消化道异物取出术成功的必要条件,加强健康教育是预防小儿上消化道异物发生的重要措施。

Objective To summarize the nursing methods for 26 children with endoscopic removal of foreign body in the upper gastrointestinal tract. Methods 26 children with endoscopic removal of foreign body in upper gastrointestinal tract were treated with comprehensive nursing measures such as preoperative regulation of indication, preoperative preparation, intraoperative regulation of cooperation points, close cooperation with doctor, postoperative observation on condition of disease of children, dietary guidance and health education. Results Among the 26 children, the foreign bodies were successfully removed in 25 children, and the success rate was 96 % ; one child failed in removing the foreign body due to wire embedded in the muscular layer of cardiac part, and he was transferred to the superior hospital for further treatment. No complications occurred in any children. Conclusion Endoscopy is the preferred method for the treatment of foreign body in the upper gastrointestinal tract, effective nursing is the essential factor for the successful operation, and enhancement of health education is the important measure for preventing the occurrence of foreign body in upper gastrointestinal tract.