球囊扩张成形术治疗小儿良性上消化道狭窄的护理探讨

目的探讨球囊扩张成形术治疗小儿良性上消化道狭窄的护理配合。方法回顾性分析本院2012年10月-2014年5月行球囊扩张成形术的24例患儿的护理配合,包括男15例,女9例;年龄9个月22 d-8岁;体重8-24 kg;食管狭窄14例（包括2例化学烧伤,3例食管闭锁术后吻合口狭窄）,贲门狭窄4例,幽门狭窄6例。结果24例患儿中除1例化学烧伤和2例幽门狭窄患儿因狭窄情况复杂,单纯球囊扩张成形效果不明显而转外科治疗,其余21例均成功完成球囊扩张成形,14例症状明显缓解,7例症状彻底改善,无不良事件发生。结论护理配合在小儿良性上消化道狭窄球囊扩张成形术中起着至关重要的作用,需要护理人员熟知专业理论知识及操作流程,只有达到配合默契、操作熟练才能顺利完成治疗,并降低不良事件发生率。

Nursing discussion of balloon expansion plasty in the treatment of chil-dren with benign stricture of upper digestive tract

Objective To explore nursing cooperation of balloon expansion plasty in the treatment of children with be-nign stricture of upper digestive tract. Methods the nursing cooperation of 24 cases with balloon expansion plasty from October 2012 to May 2014 in our hospital was retrospectively analyzed,including 15 males and 9 females,from 9 months and 22 days to 8 years of age,from 8 to 24 kg of weight,and there was 14 cases of esophageal stenosis （2 cases of chemical burns,3 cases of postoperative anastomotic stricture of esophageal atresia）,4 cases of cardia stricture,6 cases of pyloric stenosis. Results In 24 cases,except 1 case of chemical burns and 2 cases pyloric stenosis were narrow and complicated,the effect of simple balloon expansion forming was not obvious and given surgical treatment. the rest of the 21 cases were successfully completed balloon expansion forming,including 14 cases of children with apparent ease,7 cases symptoms improved thoroughly,there was no adverse events. Conclusion Nursing cooperation of the benign stric-ture of upper digestive tract in children with balloon expansion plasty plays a crucial role.Nursing staff need to be fa-miliar with the professional knowledge and operation flow,and cooperate with the tacit understanding,skilled operation, which can be successfully completed the treatment,and reduce the incidence of adverse events.