摘要
目的 总结一例长段型I 型先天性食道闭锁早产儿分期手术（I期胃造瘘术，Ⅱ期胃造瘘还纳术、胃代食道手术）治疗围手术期护理经验。方法 对患儿术前进行充分、有效的评估及准备，术后预防并发症及相关感染，进行有效的护理，保障患儿的安全、提高患儿的存活率。结果 经过精心的治疗和护理，患儿术后恢复良好。结论 针对该患儿，及时掌握手术指征及手术时机，充分做好术前评估及术后护理，是保障患儿围手术期安全、促进其预后食管功能恢复的有效手段。
关键词： 围手术期护理；胃造瘘术后、胃代食道手术；早产儿；食道闭锁
Abstract
Objective: To summarize the case of congenital esophageal atresia type long type I premature staging surgery (stage I colostomy, the stomach Ⅱ stage gastric fistula HaiNa making now, the generation of esophageal surgery) in the treatment of perioperative nursing experience. Methods To make full and effective evaluation and preparation before operation, to prevent complications and related infection after operation, to carry out effective nursing, to ensure the safety of children and improve the survival rate of children. Results After careful treatment and nursing, the children recovered well after operation. Conclusion For this child, it is an effective means to ensure the safety of perioperative period and promote the prognostic recovery of esophageal function by timely grasping the operative indications and timing, fully performing preoperative evaluation and postoperative nursing.
Key words： Perioperative nursing; Postoperative gastrostomy; gastric esophagus replacement surgery; Premature infants; Esophageal atresia
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