骶尾部巨大畸胎瘤早产儿围手术期的护理

doi:10.3761/j.issn.2096-7446.2026.02.012

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (2): 200-203.doi: 10.3761/j.issn.2096-7446.2026.02.012

骶尾部巨大畸胎瘤早产儿围手术期的护理

汪欢欢¹(), 徐浩², 李畅妍¹, 熊晓菊¹, 丁玲莉¹^,^*()

1.华中科技大学同济医学院附属同济医院护理部武汉市 430000
2.华中科技大学同济医学院附属同济医院新生儿科武汉市 430000

收稿日期:2025-04-20 出版日期:2026-02-10 发布日期:2026-02-02
通讯作者: 丁玲莉 E-mail:892805937@qq.com;370243337@qq.com
作者简介:汪欢欢：女，本科，主管护师，E-mail：892805937@qq.com

Perioperative care for a premature infant with large sacrococcygeal teratoma

WANG Huanhuan¹(), XU Hao², LI Changyan¹, XIONG Xiaoju¹, DING Lingli¹^,^*()

1. Nursing Department， Tongji Hospital，Tongji Medical College，Huazhong University of Science and Technology， Wuhan 430000， China
2. Department of Neonatology， Tongji Hospital，Tongji Medical College，Huazhong University of Science and Technology， Wuhan 430000， China

Received:2025-04-20 Online:2026-02-10 Published:2026-02-02
Contact: DING Lingli E-mail:892805937@qq.com;370243337@qq.com

摘要/Abstract

摘要：

总结1例骶尾部巨大畸胎瘤早产儿围手术期的护理体会。护理要点：术前预防瘤体感染，对家长实施心理疏导；术后采用个性化阶梯式呼吸支持，帮助尽早离氧；规范化使用负压封闭引流技术，促进顺利撤除；加强院感防控，预防术后感染发生；实施精准的喂养管理，促进早期全经口喂养；动态化疼痛安全管理，选择最佳镇痛方式；实施家庭参与式护理，多模式随访促进康复。经过44 d围手术期精准护理和治疗，患儿切口恢复良好，逐步脱离氧气支持并顺利出院。

关键词: 骶尾部, 畸胎瘤, 围手术期护理, 婴儿, 早产

Abstract:

To summarize perioperative nursing experience for a premature infant with large sacrococcygeal teratoma. Nursing points included preoperative prevention of tumor infection and psychological counseling for parents，postoperative personalized stepwise respiratory support to facilitate weaning from oxygen，standardized use of vacuum sealed drainage（VSD） technology to promote smooth removal，strengthening hospital-acquired infection control to prevent postoperative infections，precise feeding management to promote early full oral feeding，dynamic pain safety management and selecting the optimal analgesia method，and family-integrated care alongside multimodal follow-up to enhance recovery. After 44 days of precise perioperative nursing，the infant showed good wound recovery，was gradually weaned from oxygen support，and was discharged successfully.

Key words: Sacrococcygeal Region, Teratoma, Perioperative Nursing, Infant, Premature

汪欢欢, 徐浩, 李畅妍, 熊晓菊, 丁玲莉. 骶尾部巨大畸胎瘤早产儿围手术期的护理[J]. 中华急危重症护理杂志, 2026, 7(2): 200-203.

WANG Huanhuan, XU Hao, LI Changyan, XIONG Xiaoju, DING Lingli. Perioperative care for a premature infant with large sacrococcygeal teratoma[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 200-203.

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骶尾部巨大畸胎瘤早产儿围手术期的护理

Perioperative care for a premature infant with large sacrococcygeal teratoma

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