老年人急诊腹腔镜手术围手术期的护理
GUANGZHOU MEDICAL JOURNAL(2005)
Abstract
目的探讨老年人急诊腹腔镜手术围手术期的病情特点及护理措施.方法回顾性总结分析69例老年急诊腹腔镜手术,在围手术期的观察及护理.结果本组有并存病49例.应用腹腔镜完成手术65例,4例中转开腹.43例术后未用止痛药.术后胃肠功能恢复平均时间33.2小时,术后1~2天可下床活动.术后出现并发症5例.全部治愈出院.结论老年人急腹症患者症状与病理变化不相符及并存病多是其特点,腹腔镜手术具有创伤小、恢复快、痛苦小等优点,但也有腹腔镜特有的并发症,在护理过程中应充分认识其特点,采取针对性的护理措施.
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