3例先天性长段缺失型食管闭锁患儿行胃造瘘术的术后护理

doi:10.3761/j.issn.0254-1769.2021.09.016

中华护理杂志 ›› 2021, Vol. 56 ›› Issue (9): 1377-1379.DOI: 10.3761/j.issn.0254-1769.2021.09.016

3例先天性长段缺失型食管闭锁患儿行胃造瘘术的术后护理

郑丽丽(),吕丹尼,唐晓敏,陈丽骊,张婷,傅藏藏,诸纪华,汪金燕

310003 杭州市国家儿童健康与疾病临床医学研究中心/浙江大学医学院附属儿童医院胸外肿瘤外科（郑丽丽,吕丹尼,陈丽骊,汪金燕）,心脏中心（唐晓敏）,营养科（张婷）,门诊部（傅藏藏）,护理部（诸纪华）

收稿日期:2020-11-24 出版日期:2021-09-15 发布日期:2021-09-17
作者简介:郑丽丽：女,本科（硕士在读）,主管护师,E-mail： <email>cutelili@163.com</email>。

Postoperative nursing care of 3 children with congenital long-gap esophageal atresia undergoing gastrostomy

ZHENG Lili(),LÜ Danni,TANG Xiaomin,CHEN Lili,ZHANG Ting,FU Cangcang,ZHU Jihua,WANG Jinyan

Received:2020-11-24 Online:2021-09-15 Published:2021-09-17

摘要/Abstract

摘要：

总结3例先天性长段缺失型食管闭锁患儿行胃造瘘术的术后护理经验。护理要点包括：持续低负压吸引食管盲端,预防吸入性肺炎;做好饮食灌注、造瘘口周围皮肤、管路护理;同时给予患儿家长心理支持。经过精心的治疗和护理,3例患儿分别于出生后4~7个月成功施行延期食管吻合术。

关键词: 食管闭锁, 吻合术, 围手术期护理, 儿科护理学

Abstract:

This paper summarized the postoperative nursing of 3 children with long-gap esophageal atresia undergoing gastrostomy. Key points of care include：continuous low negative pressure suction of proximal esophagus to prevent aspiration pneumonia;good care of diet perfusion,the skin around gastrostomy and the tube;psychological nursing for parents. After careful treatment and care,3 children were successfully treated with delayed esophageal end-to-end anastomosis 4 to 7 months after birth.

Key words: Esophageal Atresia, Anastomosis, Perioperative Nursing Care, Pediatric Nursing

郑丽丽, 吕丹尼, 唐晓敏, 陈丽骊, 张婷, 傅藏藏, 诸纪华, 汪金燕. 3例先天性长段缺失型食管闭锁患儿行胃造瘘术的术后护理[J]. 中华护理杂志, 2021, 56(9): 1377-1379.

ZHENG Lili, LÜ Danni, TANG Xiaomin, CHEN Lili, ZHANG Ting, FU Cangcang, ZHU Jihua, WANG Jinyan. Postoperative nursing care of 3 children with congenital long-gap esophageal atresia undergoing gastrostomy[J]. Chinese Journal of Nursing, 2021, 56(9): 1377-1379.

参考文献 15

[1]	钟微. 长段缺失型食管闭锁的评估策略及手术方式探讨[J]. 临床小儿外科杂志, 2018,17(1):10-12.
	Zhong W. Discussion on surgical procedures and evaluation strategies in long segment of the esophageal atresia[J]. J Clin Pediatr Surg, 2018,17(1):10-12.
[2]	何秋明, 钟微, 王哲, 等. 食管自身延长治疗长段缺失型食管闭锁的应用分析[J]. 中华小儿外科杂志, 2019,40(8):688-692.
	He QM, Zhong W, Wang Z, et al. Application of esophageal elon-gation in repairing long-gap esophageal atresia[J]. Chin J Pediatr Surg, 2019,40(8):688-692.
[3]	郑珊. 实用新生儿外科学[M]. 北京: 人民卫生出版社, 2013.
	Zheng S. Practice of newborn surgery[M]. Beijing: People’s Me-dical Publishing House, 2013.
[4]	Shieh HF, Jennings RW. Long-gap esophageal atresia[J]. Semin Pediatr Surg, 2017,26(2):72-77.
[5]	刘蓉. 一例Ⅰ型食道闭锁行胃造瘘术后的护理[J]. 海南医学, 2015,26(22):3424-3425.
	Liu R. Postoperative nursing of a case with Ⅰ type esopha-geal atresia undergoing gastrostomy[J]. Hainan Med J, 2015,26(22):3424-3425.
[6]	樊纬, 黄金狮, 陈快, 等. 长段缺失型食管闭锁诊治策略的选择及体会[J]. 中华小儿外科杂志, 2020,41(6):484-488.
	Fan W, Huang JS, Chen K, et al. Treatment strategy selecting and experiences of long-gap esophageal atresia[J]. Chin J Pediatr Surg, 2020,41(6):484-488.
[7]	曾战东, 张宏伟, 刘丰丽. 新生儿Ⅰ期胃代食管术治疗长段型食管闭锁[J]. 中华胸心血管外科杂志, 2015,31(7):388-390.
	Zeng ZD, Zhang HW, Liu FL. Application of one-stage gastric transposition in long-gap esophageal atresia in neonate[J]. Chin J Thorac Cardiovasc Surg, 2015,31(7):388-390.
[8]	夏红萍, 朱建幸. 早产儿喂养不耐受[J]. 中国实用儿科杂志, 2015,30(2):95-99.
	Xia HP, Zhu JX. Feeding intolerance in preterm infants[J]. Chin J Pract Pediatr, 2015,30(2):95-99.
[9]	李凤妮, 李小容, 韦琴. 口腔运动干预对早产儿经口喂养进程及行为状态的影响[J]. 全科护理, 2016,14(9):885-887.
	Li FN, Li XR, Wei Q. Influence of oral motor intervention on oral feeding process and behavior state in premature infants[J]. Chin Gen Pract Nurs, 2016,14(9):885-887.
[10]	周金花. 早产儿喂养不耐受的危险因素分析及护理[J]. 当代护士(中旬刊), 2015(5):70-72.
	Zhou JH. Risk factors analysis and nursing of feeding intolerance in premature infants[J]. Today Nurse, 2015(5):70-72.
[11]	郑珊. 先天性食管闭锁治疗的发展、现状与展望[J]. 中华小儿外科杂志, 2014,35(8):561-563.
	Zheng S. Development,current situation and prospect of treat-ment for congenital esophageal atresia[J]. Chin J Pediatr Surg, 2014,35(8):561-563.
[12]	汪金燕, 陈丽骊. 4例Ⅰ型先天性食管闭锁患儿食管延长术后的护理[J]. 浙江医学, 2020,42(6):623-624.
	Wang JY, Chen LL. Nursing of 4 children with Ⅰ type congenital esophageal atresia after esophagus lengthening operation[J]. Zhejiang Med J, 2020,42(6):623-624.
[13]	何静婷, 喻姣花, 杨晓霞, 等. 《成人患者经皮内镜胃造瘘及空肠造瘘护理管理的临床实践指南》解读[J]. 中国实用护理杂志, 2019(24):1841-1845.
	He JT, Yu JH, Yang XX, et al. Interpretation of the clinical practice guidelines for the nursing management of percutaneous endoscopic gastrostomy and jejunostomy in adult patients[J]. Chin J Pract Nurs, 2019(24):1841-1845.
[14]	潘登, 王献良, 邵雷朋, 等. Ⅲ型食管闭锁的围手术期管理对术后并发症的影响[J]. 中华小儿外科杂, 2018,39(4):260-265.
	Pan D, Wang XL, Shao LP, et al. Effect of perioperative management on postoperative complications of Ⅲ type esophageal atresia[J]. Chin Ped Surg J, 2018,39(4):260-265.
[15]	吴亚美, 张春梅, 郑小芬, 等. 急性白血病患儿照顾者疾病获益感的现象学研究[J]. 中华护理杂志, 2018,53(6):674-678.
	Wu YM, Zhang CM, Zheng XF, et al. Phenomenological study on benefit finding of caregivers of children with acute leukemia[J]. Chin J Nurs, 2018,53(6):674-678.

3例先天性长段缺失型食管闭锁患儿行胃造瘘术的术后护理

Postoperative nursing care of 3 children with congenital long-gap esophageal atresia undergoing gastrostomy

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