| 回肠代膀胱术后患者代膀胱肠黏液分泌规律的研究 |
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| 引用本文： | 周玉虹,张伟,韩远萌,刘玉晶,王岩.回肠代膀胱术后患者代膀胱肠黏液分泌规律的研究[J].中华护理杂志,2004,39(8):571-572. |
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| 作者姓名： | 周玉虹 张伟 韩远萌 刘玉晶 王岩 |
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| 作者单位： | 100853,北京市,解放军总医院泌尿外科 |
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| 摘 要： | 目的探讨膀胱全切、回肠代膀胱术后代膀胱内肠黏液的分泌规律和特点,以指导临床护理工作,防止术后并发症.方法从术后第3天至第16天,对20例行膀胱全切、回肠代膀胱术后患者代膀胱内的肠黏液进行测量、计算和统计.结果代膀胱内肠黏液的分泌量在术后第3天最少(平均106.18mg/cm2),术后第7天最多(平均230mg/cm2),以后逐渐减少.结论代膀胱内肠黏液的分泌量具有规律性,呈现出上升-高峰-下降的趋势,但并不消失;护理工作中应相应增减膀胱冲洗的次数,即术后第3天每日冲洗1～2次,至术后第7天左右增至每日3～4次甚至更多,以防止引流管堵塞、尿液排出不畅等并发症的发生.
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| 关 键 词： | 回肠 膀胱 尿流改道术 膀胱切除术 黏液 |
| 修稿时间： | 2003年9月4日 |
Study on the regularity of intestinal mucosa secretory after orthotopic reconstruction of bladder with ileum operation |
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| ZHOU Yuhong,ZHANG Wei,HAN Yuanmeng,et alUrology.Study on the regularity of intestinal mucosa secretory after orthotopic reconstruction of bladder with ileum operation[J].Chinese Journal of Nursing,2004,39(8):571-572. |
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| Authors: | ZHOU Yuhong ZHANG Wei HAN Yuanmeng Urology |
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| Institution: | ZHOU Yuhong,ZHANG Wei,HAN Yuanmeng,et alUrology Department,General Hospital of PLA,Beijing,100853 |
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| Abstract: | Objective To explore the regularity of intestinal mucus secretory after orthotopic reconstruction of bladder with ileum operation.Methods The weights of intestinal mucus in 20 patients after orthotopic reconstruction of bladder with ileum operation were measured.Results On the third day of post-operation,the weight of mucus was the lowest;on the seventh day of post-operation, the weight of mucus was the highest.Conclusions The secretory of intestinal mucus has its regularity. Nurses should improve the frequency of bladder irrigation ,especially on the seventh day post-operation. |
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| Keywords: | Ileum Bladder Urinary diversion Cystectomy Mucus |
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