1例贲门失弛缓症经口内镜下肌切开术后气体并发症患者的护理

doi:10.3761/j.issn.1672-9234.2019.01.015

Abstract

Abstract:

The article summarized the experience of caring of a patient with gas-related complication after cardiac achalasia surgery. The main points are as follows:closely observing the patient’s vital signs during the operation,rescuing and caring of the patient after the operation,communicating with patients and their families after the operation with patience to relieve her adverse emotions,and providing tailored psychological support for patients and her families. The patient was discharged 19 days after operation and she is in a good condition when followed up 1 year later.

Key words: Natural Orifice Endoscopic Surgery, Postoperative Complications, Nursing Care

Jiang-na WANG, Bing LI. Care of a patient with gas-related complication after cardiac achalasia surgery:a case report[J].Chinese Journal of Nursing Education, 2019, 16(1): 64-66.

References 19

[1]	Francis DL, Katzka DA . Achalasia:update on the disease and its treatment[J]. Gastroenterology, 2010,139(2):369-374.
[2]	李柯蓓, 施瑞华 . 贲门失弛缓症的治疗进展[J]. 世界华人消化杂志, 2009,17(23):2333-2337.
[3]	Ren Z, Zhou P, Cai M , et al. Perioperative management and treat-ment for complications during and after peroral endoscopic myotomy(POEM) for esophageal achalasia(EA)(data from 119 cases)[J]. Surg Endosc, 2012,26(11):3267-3272.
[4]	彭利军, 谭洪武, 鲁临 , 等. 经口内镜下食管肌切开术治疗贲门失弛缓症的效果评价[J]. 中华消化病与影像杂志(电子版), 2014,4(5):30-32.
[5]	张彩凤, 聂占国, 游云 , 等. POEM术治疗64例贲门失弛缓症临床疗效观察[J]. 胃肠病学和肝病学杂志. 2015,24(6):716-719.
[6]	刘琳, 段树全, 孟宪梅 , 等. POEM治疗贲门失弛缓症7例[J]. 世界华人消化杂志, 2013,21(28):2994-2998.
[7]	任重, 钟芸诗, 周平红 , 等. 经口内镜肌切开术治疗贲门失弛缓症并发症及其防治探讨[J]. 中华消化内镜杂志, 2011,28(11):615-618.
[8]	程秀, 洪捷敏, 蒋素敏 . 经口内镜下肌切开术治疗贲门失迟缓症的临床体会[J]. 现代实用医学, 2014,26(6):684-685.
[9]	Sdralis EIK, Petousis S, Rashid F , et al. Epidemiology,diagnosis and management of esophageal perforations systematic review[J]. Dis Esophagus, 2017,30(8):1-6.
[10]	庞玉玲, 张艳, 李红永 . 经口内镜下肌切开术治疗贲门失弛缓症患者的护理[J]. 西南国防医药, 2018,28(2):184-185.
[11]	张晓莉, 李展峰, 颜萍 . 内镜下食管环形肌切开术治疗贲门失迟缓症的护理[J]. 护理与康复, 2014,13(1):29-30.
[12]	康桂花 . 胃镜检查的并发症与防治原则(附150例报告)[J]. 中国社区医生(医学专业), 2012,14(7):248.
[13]	周平红, 李全林, 姚礼庆 . 开展经口内镜下肌切开术治疗贲门失驰缓症的要点[J]. 中华消化内镜杂志, 2012,29(11):601-603.
[14]	陈简, 方林, 施瑞华 . 经口内镜下肌层切开术治疗贲门失弛缓症的临床应用进展[J]. 世界华人消化杂志. 2015,23(12):1903-1909.
[15]	Mcauley SM, Price RJG, Phillips G , et al. Interventions to prevent non-critical care hospital acquired pneumonia-a systematic review[J]. European Geriatric Medicine, 2015,6(4):336-340.
[16]	Masterton RG, Galloway A, French G , et al. Guidelines for the management of hospital-acquired pneumonia in the UK:report of the working party on hospital-acquired pneumonia of the British society for antimicrobial chemotherapy[J]. J Antimicrob Chemother, 2008,62(3):641.
[17]	朱晨, 陈淑贤, 钟帆 , 等. 肺部感染患者住院费用及病死率的影响因素分析[J]. 中国感染控制杂志, 2015,14(4):249-253. doi: 10.3969/j.issn.1671-9638.2015.04.008
[18]	邱晓珏, 桂春伟, 李建 . 经口内镜下食管环形肌切开术治疗贲门失弛缓症患者的围手术期护理[J]. 中华现代护理杂志, 2012,18(33):4024-4026.
[19]	汤凯琳, 唐媛, 孙玲 . 经口内镜下肌切开术治疗贲门失弛缓症的围术期护理[J]. 重庆医学, 2012,41(33):3571-3572.

Care of a patient with gas-related complication after cardiac achalasia surgery:a case report

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