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
儿科重症风险管理与实践

Ⅲ(b)型食管闭锁合并肺动脉高压早产儿的围手术期护理

  • 李青 ,
  • 卢娴 ,
  • 朱淑贞 ,
  • 唐云飞 ,
  • 薛艳 ,
  • 冯晓艳 ,
  • 华玲玲
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  • 214000 无锡市儿童医院新生儿科(李青,卢娴,薛艳,华玲玲),护理部(唐云飞,冯晓艳)国家儿童健康与疾病临床医学研究中心/浙江大学医学院附属儿童医院急诊科(朱淑贞)
李青:女,本科,主管护师,E-mail:782255270@qq.com
唐云飞,E-mail:993478969@qq.com

收稿日期: 2024-06-23

  网络出版日期: 2025-04-28

基金资助

无锡市卫生健康委妇幼健康适宜技术推广项目(FYT202202)

Perioperative nursing of a premature infant with type Ⅲb esophageal atresia complicated with pulmonary hypertension

  • LI Qing ,
  • LU Xian ,
  • ZHU Shuzhen ,
  • TANG Yunfei ,
  • XUE Yan ,
  • FENG Xiaoyan ,
  • HUA Lingling
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Received date: 2024-06-23

  Online published: 2025-04-28

摘要

总结1例Ⅲ(b)型食管闭锁伴肺动脉高压早产儿胸腔镜下辅助治疗的围手术期护理体会。护理要点:术前保持呼吸道通畅,维持心功能稳定,避免低氧血症;术后加强气道管理和脱氧训练,预防吻合口瘘,维持体循环压力,重视肠内外营养支持;出院后实施家庭赋权护理提升照护者照护能力。经积极治疗与精细化护理,患儿顺利出院,随访结果满意。

本文引用格式

李青 , 卢娴 , 朱淑贞 , 唐云飞 , 薛艳 , 冯晓艳 , 华玲玲 . Ⅲ(b)型食管闭锁合并肺动脉高压早产儿的围手术期护理[J]. 中华急危重症护理杂志, 2025 , 6(5) : 563 -565 . DOI: 10.3761/j.issn.2096-7446.2025.05.008

Abstract

To summarize the perioperative nursing care of a premature infant with type Ⅲb esophageal atresia and pulmonary hypertension treated with thoracoscopic assistance. The key points of the perioperative nursing care were as follows:maintaining a patent airway,maintaining stable cardiac function,avoiding hypoxemia before the surgery;strengthening airway management,developing an deoxygenation training plan,preventing anastomotic fistula,maintaining systemic blood pressure,paying attention to enteral and parenteral nutritional support after the surgery;implementing family-empowerment nursing to enhance the caregiver’s ability after discharge. After active treatment and meticulous nursing care,the infant’s condition stabilized and she was discharged in good health. The follow-up results were satisfactory.

参考文献

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