盆腔包裹性积液手术方法选择及治疗分析

PERIOPERATIVE NURSING OF 45 CENTRAL VENOUS INSERTED DOUBLE LUMEN CATHETER IN CHILDREN OF PEDIATRIC EMERGENCY DEPARTMENT

目的探讨盆腔包裹性积液两种手术方法的疗效。方法选取所在医院2009年1月—2013年12月因盆腔包裹性积液而行手术治疗患者32例,其中16例行腹腔镜手术,16例行开腹手术,比较其术后有效率和治愈率情况。结果腹腔镜手术和开腹手术相比较,其住院时间明显缩短,术后恢复快,有效率和治愈率均较开腹手术高,且治愈率差异有统计学意义(P<0.05)。结论盆腔包裹性积液的手术治疗首选腹腔镜手术,其具有较好的临床应用价值。

Objective To summarize the key points of perioperative nursing of 45 central venous inserted double lumen catheter in children of PICU.Methods The perioperative nursing included adequate perioperative evaluation,paying more attention to psychological nursing care for children and their families,introducing central venous inserted double lumen catheter characteristics and daily care,eliminating ideological concerns of children and their families,assisting relevant perioperative preparation.After surgery,children were under close observation of vital signs,the surface skin condition of the infusion port implanted,pain management,catering management,psychological care,standardization of nursing,treatment of common problems,enhanced education for discharge.Results All the cases were without complications.Among 45 cases,40 cases central venous inserted double lumen catheter were at right femoral vein,2 cases at left femoral vein,2 cases at right jugular vein and 1 case at left ulnar vein.The top of catheter bacterial culture were positive in ten of the cases,the bacterias were Klebsiellar pneumonia（1 case）,baumanii（2 cases）,Escherichia coli（2 cases）,Enterococcus Faecium（2 cases）,Staphylococcus epidermidis（1 case）,Enterococcus faecalis（1 case）,Candida albicans（1 case）,but all the blood bacterial culture were negative.Conclusions standardized perioperative nursing of central venous inserted double lumen catheter in children of PICU can ensure patients＇ safety and improve the patients＇ quality of life,increase service quality and patients＇ satisfaction.