46例胰十二指肠切除术的护理体会

目的 总结46例胰十二指肠切除术后患者的护理。方法 收集2014年9月至2017年1月我科46例胰十二指肠切除（Whipple术）患者的术后护理资料,包括一般护理、腹部症状及体征、管道护理、并发症的观察与护理、心理护理等。结果 46例胰十二指肠切除患者中33例术后无并发症发生,康复出院。12例术后患者发生并发症,通过干预治疗,好转出院,一例患者因多种器官疾病放弃治疗。结论 规范或标准化护理、早期发现问题、医护沟通畅通三是Whipple术的围手术期护理的重要节点。

Nursing experience of 46 patients undergoing pancreaticoduodenectomy

Objective To summarize the nursing of 46 patients after pancreaticoduodenectomy. Methods a descriptive method to record and report peri-operative nursing care of 46 patients with pancreaticoduodenectomy （Whipple procedure） in our department from September 2014 to January 2017 were collected, including general nursing, abdominal symptoms and signs, pipeline nursing, observation and nursing of complications, psychological nursing. Results Of 46 patients underwent pancreaticoduodenectomy, 33 had no severe complications and were discharged from hospital. The other 12 patients had complications after operation and discharged after intervention. One patient gave up treatment because of multiple organ diseases. Conclusion Standardized nursing, early detection of problems, unblocked communication between doctors and nurses, three-point treatment and seven-point nursing, attaching importance to the perioperative nursing management of Whipple procedure can help reduce the incidence of complications, and is an important node to promote early recovery and discharge of patients.