新生儿先天性膈疝的围手术期护理

目的：探讨新生儿先天性膈疝的围手术期护理。方法我科2009年1月~2012年12月共收治6例先天性膈疝新生儿并进行手术治疗,并进行围术期护理。结果术后1例早产儿因肺本身发育不良出现顽固性低氧血症,于术后第3天死亡。存活5例,其中2例出现肺部感染,经抗感染及持续呼吸机治疗痊愈。5例出院后随访8~34个月,生长发育及肺发育良好。结论新生儿各个器官功能发育不全,储备能力差,再加上膈疝导致的严重缺氧,手术死亡率高,围手术期的精心护理和严密监护也是手术成功的关键。

Perioperative nursing of neonatal congenital diaphragmatic hernia

Objective To investigate the perioperative nursing experience of neonatal congenital diaphragmatic hernia. Methods Six neonates with congenital diaphragmatic hernia admitted to our department from January 2009 to December 2012 received surgical treatment and perioperative nursing. Results After surgery, 1 neonate underwent refractory hypoxemia due to pulmonary hypoplasia and died on the third day after surgery. Five neonates survived, including 2 neonates with pulmonary infection, who recovered after anti-infection and continuous ventilator treatment. The 5 neonates were followed up for 8 to 34 months after being discharged from hospital, which showed good growth and development and lung development. Conclusion Organ function hypoplasia, poor reserve capacity and diaphragmatic hernia induced severe hypoxia resulted in high operative mortality rate; Perioperative intensive nursing and close monitoring is key to successful surgery.