ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 >

2026 , Vol. 7 >Issue 2: 200 - 203

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.02.012

重症护理研究

骶尾部巨大畸胎瘤早产儿围手术期的护理

  • 汪欢欢 ,
  • 徐浩 ,
  • 李畅妍 ,
  • 熊晓菊 ,
  • 丁玲莉
展开
  • 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
汪欢欢：女，本科，主管护师，E-mail：892805937@qq.com
*丁玲莉，E-mail：370243337@qq.com

收稿日期: 2025-04-20

  网络出版日期: 2026-02-02

收起

Perioperative care for a premature infant with large sacrococcygeal teratoma

  • WANG Huanhuan ,
  • XU Hao ,
  • LI Changyan ,
  • XIONG Xiaoju ,
  • DING Lingli
Expand
  • 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 date: 2025-04-20

  Online published: 2026-02-02

Fold

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

本文引用格式

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 . DOI: 10.3761/j.issn.2096-7446.2026.02.012

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

参考文献

[1] Dey A, Wyrebek R, Torres L, et al. Tumor lysis syndrome in premature infant prompting early resection of a large sacroco-ccygeal teratoma:a case report[J]. BMC Pediatr, 2023, 23(1):440.
[2] Akinkuotu AC, Coleman A, Shue E, et al. Predictors of poor prognosis in prenatally diagnosed sacrococcygeal teratoma:a mul-tiinstitutional review[J]. J Pediatr Surg, 2015, 50(5):771-774.
[3] Guitart J, Teixidor M, Brun N, et al. Preoperative giant sacro-coccygeal teratoma embolization in a newborn - A case report and a review[J]. Cir Pediatr, 2020, 33(2):95-98.
[4] Parizad N, Hajimohammadi K, Hassanpour A, et al. Treating surgical site infection by honey antibacterial wound dressing in a neonate:a case report[J]. Br J Nurs, 2022, 31(4):S8-S14.
[5] 蔡丽娜, 李明兄, 徐京, 等. 负压封闭引流联合持续微氧渗透技术在新生儿胸骨切口深部感染中的应用[J]. 护理学杂志, 2023, 38(5):25-28.
  Cai LN, Li MX, Xu J, et al. Application of vacuum sealing drainage combined with continuous micro-oxygen permeation technique in neonates’ deep sternal wound infection[J]. J Nurs Sci, 2023, 38(5):25-28.
[6] 钱洁, 姜敏敏, 陈晨, 等. 超简抑郁焦虑筛查量表在社区门诊的信度和效度研究[J]. 内科理论与实践, 2021, 16(2):116-120.
  Qian J, Jiang MM, Chen C, et al. Reliability and validity of the ultra-brief depression and anxiety screening scale in commu-nity outpatient settings[J]. J Intern Med Concepts Pract, 2021, 16(2):116-120.
[7] 张杰, 李晓嫚, 顾凯, 等. 叙事护理在重症监护室临床实践中的应用研究进展[C]// 上海市护理学会. 第六届上海国际护理大会论文汇编(下), 2024:709.
  Zhang J, Li XM, Gu K, et al. Research progress on the app-lication of narrative nursing in clinical practice in intensive care units?[C]// Shanghai Nursing Association. Proceedings of the 6th Shanghai International Nursing Conference(Volume Ⅱ),2024:709.
[8] 高志, 孙照祝. 重症肺炎的呼吸支持治疗进展[J]. 中国医刊, 2021, 56(9):946-948.
  Gao Z, Sun ZZ. Progress in respiratory support treatment for severe pneumonia[J]. Chin J Med, 2021, 56(9):946-948.
[9] 曾丹, 朱慧云. 婴儿肝炎综合征患儿营养评估工具研究进展[J]. 当代护士(下旬刊), 2021, 28(7):52-55.
  Zeng D, Zhu HY. Research progress of nutritional assessment tools for children with infant hepatitis syndrome[J]. Mod Nurse, 2021, 28(7):52-55.
[10] Ramiro-Cortijo D, Singh P, Liu Y, et al. Breast milk lipids and fatty acids in regulating neonatal intestinal development and protecting against intestinal injury[J]. Nutrients, 2020, 12(2):534.
[11] 郑显兰, 史源, 沈巧, 等. 中国新生儿疼痛管理循证指南(2023年)[J]. 中国当代儿科杂志, 2023, 25(2):109-127.
  Zheng XL, Shi Y, Shen Q, et al. Evidence-based guideline for neonatal pain management in China(2023)[J]. Chin J Con-temp Pediatr, 2023, 25(2):109-127.
Options
文章导航

/

〈 〉