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1例新生儿幽门闭锁合并大疱表皮松解症的护理

Chinese journal of nursing(2017)

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Abstract
报告1例先天性幽门闭锁合并大疱表皮松解症新生儿的护理.在做好术前全身营养支持的基础上,严格执行无菌操作,积极处理新发水疱与创面,采用“十字对穿”法使疱液自然流出,使用温生理盐水局部脉冲冲洗技术清洁创面,避免二次损伤,同时可减轻换药的疼痛;根据湿性愈合原则,采用软聚硅酮泡沫敷料处理水疱和创面.术中经腹放置空肠营养管,早期开展微量肠内营养,待胃肠功能完全恢复后逐渐过渡到口服喂养,热量不足部分由静脉补充.治疗期间未出现肠穿孔、肠扭转、堵管等置管并发症,未发生粘连性肠梗阻及胆汁淤积,无呕吐、腹胀、腹泻.经过31 d的精心护理,患儿好转出院.
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Key words
Neonatal Nursing,Pyloric Atresia,Epidermolysis Bullosa
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