膀胱全切除原位T型回肠新膀胱术并发症的观察和护理 |
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引用本文: | 赵桂芹,刘金秀,唐伟,郝俊秀,崔冬梅,吕薇.膀胱全切除原位T型回肠新膀胱术并发症的观察和护理[J].中国医药导报,2013,10(22):153-155. |
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作者姓名: | 赵桂芹 刘金秀 唐伟 郝俊秀 崔冬梅 吕薇 |
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作者单位: | [1]河北省唐山市迁西县人民医院外科,河北迁西060300 [2]河北省唐山市工人医院泌尿外科,河北唐山063000 |
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基金项目: | 河北省唐山市科学技术研究与发展指导计划项目(编号091130220a) |
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摘 要: | 目的探讨膀胱全切除原位T型回肠新膀胱术后并发症的观察方法和护理经验。方法回顾性总结分析全膀胱切除原位T型回肠新膀胱术患者的并发症和护理经验,并探讨护理干预对并发症的预防作用。结果对全膀胱切除原位T型回肠新膀胱术后患者进行护理,20例术后共发生并发症2例,其中有1例不完全性肠梗阻及尿漏,经保守治疗治愈;另1例出现远期并发症排尿困难,经微创治疗治愈出院;有3例出现应激性消化道溃疡(上消化道出血)。无膀胱输尿管反流,电解质紊乱病例。结论经护理干预后,全膀胱切除原位T型回肠新膀胱术的并发症少。
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关 键 词: | 膀胱癌 膀胱全切除 原位T型回肠新膀胱 并发症 护理 |
Observation and nuring to complications of radical bladder resection in situ T-ileal newbladder |
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Affiliation: | ZHAO Guiqin1 LIU Jinxiu2 TANG Wei2 HAO Junxiu2 CUI Dongmei2 LU Wei2 1.Departmrnt of Surgery,Qianxi County People's Hospital of Tangshan City,Hebei Province,Qianxi 060300,China;2.Departmrnt of Urinary Surgery,Workers' Hospital of Tangshan City,Hebei Province,Tangshan 063000,China |
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Abstract: | Objective To explore the observation methods and nuring experience to complications of radical bladder resection in situ T-ileal newbladder.Methods The observation methods and nuring experience to complications of radical bladder resection in situ T-ileal newbladder were retrospectively analyzed,and the preventive effect of nursing intervention was discussed.Results 20 cases were observed after radical bladder resection in situ T-ileal newbladder.Complications happened to 2 cases of all the patients.One of them was incomplete intestinal obstruction and urine leakage,which was cured by conservative treatment.The other one,which was dysuria,was cured by minimally inva sive treatment.There were 3 cases occuring stress ulcer(upper gastrointestinal bleeding).No bladder ureter reflux and electrolyte disorder happened.Conclusion Complications of radical bladder resection in situ T-ileal newbladder may be significantly reduced by nursing intervention. |
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Keywords: | Bladder cancer Radical bladder resection In situ T-ileal newbladder Complications Nursing |
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