中华护理杂志 ›› 2024, Vol. 59 ›› Issue (16): 2009-2013.DOI: 10.3761/j.issn.0254-1769.2024.16.013

• 手术室护理安全 • 上一篇    下一篇

32例胰腺癌根治手术联合自体小肠移植的护理配合

张成东(), 王莺, 卢芳燕()   

  1. 310003 杭州市 浙江大学医学院附属第一医院手术室(张成东,王莺),护理部(卢芳燕)
  • 收稿日期:2024-03-01 出版日期:2024-08-20 发布日期:2024-08-12
  • 通讯作者: 卢芳燕,E-mail:2196032@zju.edu.cn
  • 作者简介:张成东:男,本科(硕士在读),主管护师,E-mail:1403977909@qq.com
  • 基金资助:
    浙江省教育厅项目(Y202250020)

Nursing cooperation in 32 cases of pancreatic cancer undergoing radical surgery combined with intestinal autotransplantation

ZHANG Chengdong(), WANG Ying, LU Fangyan()   

  • Received:2024-03-01 Online:2024-08-20 Published:2024-08-12

摘要:

总结32例胰腺癌根治手术联合自体小肠移植的护理配合。护理要点:组建多学科手术团队,制订手术应急预案;做好设备、物品和环境的准备;利用节点控制理念对手术安全进行管控;集束化的感染防控措施及分段式的隔离技术;围手术期非计划性低体温的防控;小肠灌洗、修整与低温保存;并发症的预防。经过精准手术配合和精心护理,所有患者均顺利完成手术,安全转移至重症监护病房行进一步治疗。

关键词: 器官移植, 小肠, 胰十二指肠切除术, 胰腺肿瘤, 围手术期护理

Abstract:

To summarize the perioperative nursing care in 32 cases of pancreatic cancer undergoing radical surgery combined with intestinal autotransplantation. Key points:to set up a multidisciplinary surgical team and create surgical emergency plans;to well prepare equipment,supplies,and environment;to utilize node control concepts to control operation safety;to carry out the clustered surgical infection management and phased implementation of isolation technology;to prevent and control the inadvertent perioperative hypothermia;organ irrigation,repair and preservation;to prevent the complication. After above precise surgical cooperation and meticulous care,all operations were implemented successfully,and patients were transferred to the intensive care unit for further treatment safely.

Key words: Organ Transplantation, Small Bowel, Pancreaticoduodenectomy, Pancreatic Neoplasms, Perioperative Nursing