Abstract:

To summarize the perioperative nursing experience of a premature infant with ABO hemolytic disease who underwent resection of giant Altman type I sacrococcygeal teratoma at 43 hours after birth. Key points of preoperative nursing care include the cooperative blood transfusion to correct anemia，and the protection of tumor body，the prevention of rupture and bleeding. Key points of intraoperative nursing care include the personalized postural safety management，the target-oriented fluid therapy to maintain circulation stability，and composite insulation measures to prevent hypothermia. Key points of postoperative nursing care include sequential fluid replenishment to treat neonatal capillary leakage syndrome；protective ventilation strategies to maintain effective breathing；precision wound care，prevention and control of postoperative infection；progressive mixed feeding；to empower family members and improve the quality of continuous rehabilitation. After careful treatment and nursing care，the patient was discharged 18 days after surgery. During the 7-month follow-up，the growth and development were normal.

Key words: ABO Hemolytic Disease of Newborn, Premature Infant, Sacrococcygeal Teratoma, Perioperative Nursing

摘要：

总结1例ABO溶血病早产儿于出生后43 h行巨大Altman Ⅰ型骶尾部畸胎瘤切除的围手术期护理经验。术前护理要点：进行配合性输血治疗，及时纠正贫血；保持瘤体完整性，防止破裂出血。术中护理要点：个性化体位安全管理；目标导向性液体治疗，维持循环稳定；采取复合保温措施，积极预防低体温。术后护理要点：采取序贯补液，治疗新生儿毛细血管渗漏综合征；保护性通气策略，维持有效呼吸；实施精细化切口护理，预防术后感染；渐进式混合喂养；赋能患儿家属，提升延续性护理质量。经过精心的治疗与护理，患儿于术后18 d出院，随访7个月，生长发育正常。【关键词】 ABO新生儿溶血病； 早产儿； 骶尾部畸胎瘤； 围手术期护理