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11例腹腔镜下膀胱全切原位回肠代膀胱术的围手术期护理
引用本文:丁萍,宋真.11例腹腔镜下膀胱全切原位回肠代膀胱术的围手术期护理[J].中华护理杂志,2010,45(4).
作者姓名:丁萍  宋真
作者单位:安徽医科大学第一附属医院护理部,合肥市,230022
摘    要:报告了11例腹腔镜下膀胱全切原位回肠代膀胱术患者的护理。护理要点包括:术前肠道护理和心理护理,术后各引流管的护理和并发症的观察,以及指导患者定时排尿和进行盆底肌的训练。患者拔除尿管后,经过对新建膀胱进行排尿功能训练,2周后可自控排尿。仅1例夜间偶有尿失禁。

关 键 词:膀胱切除术  腹腔镜检查  护理

Perioperative nursing of patients undergoing laparoscopic radical cystectomy with orthotopic ileal neobladder\
DING Ping,SONG Zhen.Perioperative nursing of patients undergoing laparoscopic radical cystectomy with orthotopic ileal neobladder\[J].Chinese Journal of Nursing,2010,45(4).
Authors:DING Ping  SONG Zhen
Abstract:This paper reports nursing of 11 patients undergoing laparoscopic radical cystectomy with orthotopic ileal neobladder. The nursing points included preoperative bowel care,psychological care,observation of drainage tubes and complications,guidance of pelvic floor muscle training and bladder training with timed voiding. Patients receiving bladder training after catheter removal,and got self-control urination in 2 weeks. Only a patient left urinary incontinence at night occasionally.
Keywords:Cystectomy  Laparoscopy  Nursing Care
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