老年食管贲门癌病人围手术期护理体会

摘要

Objective To conclude the nursing experience for 71 elderly patients with esophageal or cardiac carcinoma during perioperative period.Methods Retrospective analysis was conducted to analyze clinical nursing data of 71 elderly patients with esophageal or cardiac carcinoma.The key points of preoperative nursing were taking care of patients' mood,completing relevant preoperative examination and making sure the condition of the patients in accordance with the operation.The key points of postoperative nursing were closely observing patient vital signs,timely finding the early signs of complications and taking corresponding treatment.Results There were 15 complication cases in the 71 patints(21.13％).Other patients were safety through perioperative period except 2 patients dead(2.82％)because of cardiorespiratory failure.Conclusion Noticing the different key points of preoperative and postoperation nursing and taking scientific and effective nursing measures were the guarantee for patients through perioperative period safely.%目的 总结71例老年食管贲门癌病人围手术期护理经验.方法 回顾性分析71例食管贲门癌患者临床护理资料.术前护理重点在于稳定患者情绪,完善相关检查,使患者身体状况符合手术条件;术后护理重点在于密切监视各项生命体征,及时发现各类并发症早期征象并作相应处理.结果 71例患者中发生并发症共15例(21.13％),2例患者因突发心肺功能衰竭死亡(2.82％),其余均安全度过围手术期.结论 对老年食管贲门癌患者护理应注意术前术后护理重点,采取科学有效的护理措施,是促进患者安全度过围手术期重要保证.