老年患者腹腔镜食道裂孔疝修补术的围手术期护理

Perioperative nursing of elderly patients undergoing esophageal hiatal hernia with laparoscope

目的探讨腹腔镜治疗老年食道裂孔疝修补术患者的围手术期护理。方法总结20例食道裂孔疝行腹腔镜修补术的老年患者护理要点。结果 20例患者中术后出现吞咽困难症状3例,胃肠蠕动弱5例,肺部感染6例,腹胀呼吸困难3例,下肢深静脉血栓1例,对症处理后均顺利出院。随访3个月临床症状均消失,钡餐造影未见疝复发。结论术前做好评估和心理护理,认真细致的术后护理以及积极处理并发症,有利于术后恢复,减少术后并发症的发生。

Objective To explore the perioperative nursing of elderly patients undergoing esophageal hiatal hernia repair with laparoseope. Method Twenty elderly patients undergoing esophageal hiatal hernia repair with laparoscope were managed with holistie nursing and the key nursing points were summarized. Results After operations, 3 of them contracted with dysphagia, 5 with weakened gastrointestinal motility, 6 with pulmonary infections, 3 with dyspnea and 1 with thrombus in the deep veins of lower extremities. All the 20 patients got recovered suceessfully after pertinent treatments. 3 months follow-ups showed the clinical symptoms disappeared and barium meal showed no relapse of hernias. Conclusion Strengthened perioperative nursing of operations on esophageal hiatal hernia is beneficial for postoperative recovery and reduction of postoperative complications.