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晚期甲状腺癌患者手术前后的护理
引用本文:谢静芳,黄映芳,邹海棠.晚期甲状腺癌患者手术前后的护理[J].南方护理学报,2004,11(6):23-24.
作者姓名:谢静芳  黄映芳  邹海棠
作者单位:汕头市中心医院耳鼻咽喉-头颈外科 广东汕头515031 (谢静芳,黄映芳),汕头市中心医院耳鼻咽喉-头颈外科 广东汕头515031(邹海棠)
摘    要:目的 探讨晚期甲状腺癌患者手术前后的临床护理方式及特点。方法 对13例晚期甲状腺癌患者的术前做好急救护理、心理护理以及术前准备;术后做好生命体征观察、体位及鼻饲管的护理、呼吸道的护理、术后并发症的观察护理。结果 13例患者中,1例发生创口出血,1例发生乳糜漏,1例发生食管吻合口瘘,均经及时治疗与护理后痊愈,10例术后顺利恢复。结论 对晚期甲状腺癌患者作及时的救治护理、细致的心理护理、充分的术前准备、术后密切的病情观察和正确护理,是减少并发症,提高手术成功率及促进患者早日康复的重要措施。

关 键 词:甲状腺癌  晚期  根治术  护理
文章编号:1008-9969(2004)06-0023-02
修稿时间:2004年1月12日

Preoperative and postoperative nursing of patient with late thyroid carcinoma
XIE Jingfang,HUANG Yingfang,ZOU Haitang.Preoperative and postoperative nursing of patient with late thyroid carcinoma[J].Nanfang Journal of Nursing,2004,11(6):23-24.
Authors:XIE Jingfang  HUANG Yingfang  ZOU Haitang
Abstract:Objective To explore the mode and characteristics of clinical nursing before and after operation of late thyroid carcinoma. Methods 13 cases of late thyroid carcinoma received preoperative emergent nursing, mental nursing, preoperative preparation and postoperative observations of vital signs, posture nursing, nursing of nasal feeding tube, respiratory tract nursing, observation and nursing of postoperative complications. Results 10 of 13 cases recovered favorably. 1 case was complicated with wound bleeding, 1 with chyle leakage and 1 with anastomosis fistula of esophagus. All of them got recovered by treatment and nursing in time. Conclusion The key measures like timely treatment, mental care, thorough preoperative preparation, postoperative close observation of conditions are important for the improvement of operation success rate and early rehabilitation of patients with late thyroid carcinoma.
Keywords:thyroid carcinoma  late  removal  nursing
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