摘要
目的探讨经腹腔途径腹腔镜肾上腺肿瘤切除术的围手术期护理。方法选择肾上腺肿瘤患者72例,行经腹腔途径腹腔镜肾上腺切除术。术前做好心理护理,了解心肺功能,配合药物治疗,并做好胃肠道和皮肤准备。术后严密观察并给予氧疗,预防高碳酸血症发生,并做好并发症的护理。鼓励患者进行早期功能锻炼,并正确指导饮食。结果除2例转开放手术外均获得成功。术后1d可进食并下床活动,平均住院6d。术后发生胸腔积液2例,Trocar穿刺孔皮下脂肪液化1例,感染1例,无出血、高碳酸血症等严重并发症发生。结论经腹腔途径行肾上腺肿瘤切除术安全可靠。术前积极准备、术后严密观察和及时处理是护理成功的关键。
Objective To study the preoperative nursing care in excision of adrenal tumor by using laparoseope. Methads 72 patients with adrenal tumor have undergone the excision of adrenal tumor by using laparoseope in our hospital. Preoperative nursing included mental care, cardiac and pulmonary function assessement, pharmaeotherapy, gastrointeatinal and skin preparation. Postoperative monitoring the condition of all the patients, and given oxygen uptake to prevent hypercarbonemia. All the patients were encouraged to do functional recovery early and were guided to diet properly. Results All patients were successful obtained the excision of adrenal tumor by using laparoscope except two were reversed to open surgery. The patients could take food and leave bed in the first post - operative day. The mean postoperative stay was 6 days. Hydrothorax occurred in 2 cases and fat liquidation and wound infection occurred in 2 casses. There were no major complications such as hemorrhage and hypercarbonemia occurred. Conclusion The excision of adrenal tumor by using laparoseope is safe and reliable. Sufficient preoperative preparation, careful post - operative monitoring and timely using counter - measure are the key points in nursing care.
关键词
腹腔镜
肾上腺切除术
围手术期
护理
Laparoscope
Excision of adrenal tumor
Preoperative nursing
