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腹腔镜胆囊切除术中转开腹的手术配合
引用本文:向蔡云,李旋,姜文,周晓银,张兰秀,禹晓慧. 腹腔镜胆囊切除术中转开腹的手术配合[J]. 当代护士, 2003, 0(12): 10-11
作者姓名:向蔡云  李旋  姜文  周晓银  张兰秀  禹晓慧
作者单位:怀化市第一民医院,怀化市第一民医院,怀化市第一民医院,怀化市第一民医院,怀化市第一民医院,怀化市第一民医院 湖南 怀化 418000,湖南 怀化 418000,湖南 怀化 418000,湖南 怀化 418000,湖南 怀化 418000,湖南 怀化 418000
摘    要:对25例腹腔镜胆囊切除术(LC)中转开腹手术配合体会进行总结,就LC中转开腹的原因、术前准备、术中配合及术后随访等方面进行讨论。认为对所有LC病例术前都应做好中转开腹的心理准备及器械准备;当LC术需中转开腹时,器械护士迅速撤离腹腔镜器械车,快速开启术前准备好的中转开腹器械包;巡回护士密切监测病人生命体征及手术进展情况,并认真清点撤下的各种器械物品及保护好腹腔镜器械,避免碰撞损坏;术后随访正确解释中转开腹的原因、必要性及安全性。

关 键 词:腹腔镜胆囊切除术  中转开腹  手术配合
文章编号:1006-6411(2003)12-0010-02

Conversion-to-open Surgery Cooperation during Laparoscopic Cholecystectomy
Xiang Caiyun,Li Xuan,Jiang Wen,et al.. Conversion-to-open Surgery Cooperation during Laparoscopic Cholecystectomy[J]. Today Nurse, 2003, 0(12): 10-11
Authors:Xiang Caiyun  Li Xuan  Jiang Wen  et al.
Affiliation:Xiang Caiyun,Li Xuan,Jiang Wen,et al. the First Hospital of Huaihua,Huaihua 418000,Hunan,P.R.China.
Abstract:Summarized the cooperative realization of conversion-to-open surgery during laparoscopic cholecystectomy (LC), and discussed the cause of conversion-to-open surgery of 25 patients in LC, pro-operation preparation, the key of surgery cooperation as well as post-operation investigation. The author suggested that nurse's mental and instrument should be prepared well before operation; when perform conversion-to-open surgery, scrub nurse should remove laparoscopic instrument and open laparolomy instrument bag immediately; patrol nurse should observe patient s condition and operation course and check seriously removed laparoscopic appliances and avoid damaging them. During post-operation investigation, nurse should explain correctly the cause, necessary and safety of conversion-to-open surgery.
Keywords:Laparoscopic cholecystectomy  Conversion-to-open surgery  Operation cooperation
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