Objective: To explore the nursing experience of digestive function after thoracic and abdominal aortic replacement in order to promote the better recovery. Methods: 25 patients undergoing thoracic and abdominal aortic...Objective: To explore the nursing experience of digestive function after thoracic and abdominal aortic replacement in order to promote the better recovery. Methods: 25 patients undergoing thoracic and abdominal aortic replacement were managed after operation. First, the fluid volume and blood pressure were controlled, and the use of vasoactive drugs was strictly regulated to ensure the perfusion of abdominal organs. And the enteral nutrition is carried out as early as possible to accelerate the recovery of gastrointestinal function of patients;And multimode analgesia is adopted to promote patients to get out of bed as early as possible to recover gastrointestinal peristalsis;At the same time, anticoagulation management is strengthened to prevent microthrombosis. Results: 23 of 25 patients after thoracic and abdominal aortic replacement recovered well and discharged smoothly. 2 Cases died,1 case died of hemorrhagic shock due to rupture of abdominal great vessels, and 1 case died of multiple organ failure due to septic shock. Conclusion: To strengthen the maintenance of digestive function, ensure the blood perfusion of gastrointestinal tract, get out of bed early, promote the gastrointestinal peristalsis and implement enteral nutrition as early as possible, can promote the recovery of gastrointestinal function, accelerate the rehabilitation process and shorten the hospitalization time.展开更多
文摘Objective: To explore the nursing experience of digestive function after thoracic and abdominal aortic replacement in order to promote the better recovery. Methods: 25 patients undergoing thoracic and abdominal aortic replacement were managed after operation. First, the fluid volume and blood pressure were controlled, and the use of vasoactive drugs was strictly regulated to ensure the perfusion of abdominal organs. And the enteral nutrition is carried out as early as possible to accelerate the recovery of gastrointestinal function of patients;And multimode analgesia is adopted to promote patients to get out of bed as early as possible to recover gastrointestinal peristalsis;At the same time, anticoagulation management is strengthened to prevent microthrombosis. Results: 23 of 25 patients after thoracic and abdominal aortic replacement recovered well and discharged smoothly. 2 Cases died,1 case died of hemorrhagic shock due to rupture of abdominal great vessels, and 1 case died of multiple organ failure due to septic shock. Conclusion: To strengthen the maintenance of digestive function, ensure the blood perfusion of gastrointestinal tract, get out of bed early, promote the gastrointestinal peristalsis and implement enteral nutrition as early as possible, can promote the recovery of gastrointestinal function, accelerate the rehabilitation process and shorten the hospitalization time.
