腹腔镜肾上腺嗜铬细胞瘤切除术的围手术期护理

Perioperative nursing care of laparoscopic adrenal pheochromocytoma excision

目的探讨腹腔镜肾上腺嗜铬细胞瘤患者围手术期护理措施。方法回顾性分析2012年6月至2017年6月在北京安贞医院收治的56例肾上腺嗜铬细胞瘤行腹腔镜手术治疗的患者临床资料,总结腹腔镜肾上腺嗜铬细胞瘤患者围手术期护理经验。结果 56例患者均康复出院,住院时间(6.9±1.2)d,术后出现低血糖1例、术后腹胀4例、术后皮下气肿6例。无低血容量性休克、心功能衰竭、术后出血及心脑血管事件发生。所有患者术后病理均证实为嗜铬细胞瘤,随访6个月,患者血压恢复至正常范围。结论对于肾上腺嗜铬细胞瘤患者,完善术前检查,充分术前准备和围手术期管理,加强术后监测和护理,可以有效减少和避免相关并发症的发生。

Objective To explore the perioperative nursing measures for patients with laparoscopic adrenal pheochromocytoma resection.Methods The clinical data of 56 cases of patients underwent laparoscopic adrenal pheochromocytoma resection in Beijing Anzhen Hospital from Jun.2012 to Jun.2017 was retrospectively analyzed.The perioperative nursing experience and strategies for the laparoscopic adrenal pheochromocytoma resection were summarized.Results Retrospectively analyzed clinical data of 56 patients with pheochromocytoma were received surgery and postoperative complications occurred in 11 patients.The complications included postoperative hypoglycemia(1 case),postoperative abdominal distention(4 cases)and subcutaneous emphysema(6 cases).There were no hemorrhagic shock,heart failure,postoperative bleeding and cardiovascular events.The patients were followed up for 6 months,and their blood pressure was restored to the normal range.Conclusions For patients with adrenal pheochromocytoma,improving preoperative examination,adequate preoperative preparation and perioperative management can effectively reduce and avoid the occurrence of related complications.