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目的探讨精细化管理在胸腹联体婴儿分离手术护理中的应用效果。方法采用精细化管理的方法对胸腹联体婴儿分离手术配合进行统筹安排,包括组建专项护理小组、分配人员、准备物资、设计空间布局、逐个解决手术护理难点,从术前筹备、术中配合、术后转运的环节上详细设计规划并进行场景模拟,制定个性化手术护理方案。结果手术顺利完成,两患儿均存活,术中无低体温现象,各项指征平稳。术后复苏时间短,呼吸、反射状态良好。结论精细化管理对个案手术护理方案的制定和实施提供了思考方向和要求,使该例手术的护理选择了最佳的方案,为手术安全及顺利开展提供保障。
Objective To explore the application of meticulous management in the surgical care of the thoraco-abdominal abortion. Methods The method of meticulous management was used to make an overall arrangement for the surgical coordination of the thoracoabdominal conjunctive infant separation operation, including setting up a special nursing team, allocating staff, preparing supplies and designing the spatial layout, and solving the difficulties of surgical nursing one by one. From preoperative preparation, intraoperative cooperation , Postoperative transport aspects of the detailed design and planning and scene simulation to develop personalized surgical care programs. Results The operation was successfully completed, both children survived, no hypothermia during operation, and the indications were stable. Postoperative recovery time is short, breathing, reflex status is good. Conclusion The meticulous management provides the thinking direction and requirements for the formulation and implementation of the case surgical nursing plan, which enables the case nursing care to choose the best plan for the safety and smooth operation.