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总结21例婴幼儿血管环矫治术围术期的护理。护理重点为术前保持呼吸道通畅,进行合理喂养;术后加强呼吸道管理和饮食管理,维持循环功能的稳定,做好并发症的观察与护理。21例患儿均手术成功,术后并发乳糜胸1例、喉返神经损伤1例,均治愈出院。术后随访3个月至1年,消化道症状均消失;6例患儿术后3个月仍有喘鸣、反复呼吸道感染,2例患儿术后6个月有间断喘鸣、慢性咳嗽,术后1年呼吸道症状均消失。
Summarize the perioperative nursing of 21 cases of infantile vascular ring correction. Nursing focus on preoperative airway to maintain patency, reasonable feeding; postoperative to strengthen respiratory management and diet management, maintain the stability of the circulatory function, do a good job of observation and nursing complications. All 21 cases were operated successfully. One patient had chylothorax and one patient had recurrent laryngeal nerve injury after operation. All were cured and discharged. All the patients were followed up for 3 months to 1 year. The symptoms of gastrointestinal tract disappeared. There were still wheezing and recurrent respiratory infections in 6 patients 3 months after operation. Two patients had intermittent wheezing and chronic cough 6 months after operation. , Respiratory symptoms disappeared after 1 year.