eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association
Critical Care Research

Perioperative nursing of a premature infant with omphalocele,exstrophy of the bladder,imperforate anus and spinal defect complex

  • ZHOU Huiyun ,
  • LUO Feixiang ,
  • SHEN Fei ,
  • ZHAO Yijun ,
  • ZHU Jihua
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Received date: 2023-05-14

  Online published: 2023-12-22

Abstract

The perioperative nursing experience of a premature infant with omphalocele,exstrophy of the bladder,imperforate anus and spinal defect complex(OEIS)was summarized. Nursing key points:preoperative nursing of eversion cloacal mucosa;nursing after first stage anal anoplasty to avoid anal stenosis and incision infection;nursing care after second stage surgery,including management of drainage tube under plaster fixation of human position after bladder exstrophy repair,observation of intraperitoneal high pressure,prevention of cast syndrome,stepwise pain management,postoperative skin management and incision care to promote postoperative recovery;discharge guidance and transitional care to improve the discharge readiness and home care capabilities of infant's family. The infant recovered well and was discharged on the 49th day of admission.

Cite this article

ZHOU Huiyun , LUO Feixiang , SHEN Fei , ZHAO Yijun , ZHU Jihua . Perioperative nursing of a premature infant with omphalocele,exstrophy of the bladder,imperforate anus and spinal defect complex[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023 , 4(12) : 1126 -1129 . DOI: 10.3761/j.issn.2096-7446.2023.12.013

References

[1] Ebert AK,Reutter H,Ludwig M,et al.The exstrophy-epispadias complex[J]. Orphanet J Rare Dis,2009,4:23.
[2] Rohrer L,Vial Y,Gengler C,et al.Prenatal imaging of anorectal malformations-10-year experience at a tertiary center in Switzerland[J]. Pediatr Radiol,2020,50(1):57-67.
[3] Fullerton BS,Sparks EA,Hall AM,et al.Growth morbidity in patients with cloacal exstrophy:a 42-year experience[J]. J Pe-diatr Surg,2016,51(6):1017-1021.
[4] Lee T,Weiss D,Roth E,et al.Prenatal diagnosis of bladder exstrophy and OEIS over 20 years[J]. Urology,2023,172:174-177.
[5] Cervellione RM,Mantovani A,Gearhart J,et al. Prospective study on the incidence of bladder/cloacal exstrophy and epispadias in Europe[J]. J Pediatr Urol,2015,11(6):337.e1-337.e6.
[6] 贾晓琴,喻林芝,何力黄,等. 1例新生儿膀胱外翻合并尿道上裂的围术期护理干预[J]. 护理实践与研究,2018,15(17):156-157.
Jia XQ,Yu ZL,He LH,et al.Perioperative nursing intervention for a neonate with bladder exstrophy and epispadias[J]. Nursing Prac Res,2018,15(17):156-157.
[7] 张洪旭,蒋硕. 4C护理模式在先天性肛门闭锁手术患儿中的应用效果[J]. 中国肛肠病杂志,2022,42(11):3.
Zhang HX,Jiang S.The efficacy of 4C nursing model on pediatric patients undergoing surgery for congenital proctatresia[J]. Chin J Coloproctology,2022,42(11):3.
[8] 严格,张郑,南国新,等. 改良半硬化高分子绷带人类位固定治疗发育性髋关节脱位[J]. 中华关节外科杂志(电子版),2020,14(5):534-539.
Yan G,Zhang Z,Nan GX,et al.Treatment of developmental dislocation of the hip with modified semi-sclerosing polymer bandage in human position[J]. Chin J Joint Surg(Electronic Edition),2020,14(5):534-539.
[9] 高阳,邵碧波,陈春发. 超声引导下腹腔置管在腹腔内高压合并腹腔积液患者中的应用[J]. 临床急诊杂志,2022,23(3):214-215.
Gao Y,Shao BB,Chen CF.Application of ultrasound-guided intraperitoneal catheterization in intraperitoneal hypertension patients with peritoneal effusion[J]. J Clin Emerg,2022,23(3):214-215.
[10] Field T.Preterm newborn pain research review[J]. Infant Behav Dev,2017,49:141-150.
[11] 陈启忠,李志勤. 氢吗啡酮在小儿尿道下裂修复术后镇痛中的效果[J]. 分子影像学杂志,2022,45(5):763-766.
Chen QZ,Li ZQ.Effect of hydromorphone in analgesia after pediatric hypospadias repair surgery[J]. J Mol Imaging,2022,45(5):763-766.
[12] 郑乔木,花文哲,严洁,等. 重症监护室早产儿父母出院准备水平及其影响因素分析[J]. 中国实用护理杂志,2021,37(25):1979-1984.
Zheng QM,Hua WZ,Yan J,et al.Analysis of status and influencing factors of parents' discharge preparation for preterm infants in intensive care unit[J]. Chin J Pract Nurs,2021,37(25):1979-1984.
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