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Abdominal aortic aneurysm and intestinal obstruction and acute renal failure nursing


Patients before and after surgery did not occur bedsores. [Key words] abdominal aortic aneurysm; intestinal obstruction; renal failure; Nursing [CLC] R473.6 [Document code] B [Article ID] 1008-0341 (2004) 04-036 BU O2 (edit this article Huang Township) inactivation of tumor resection replantation surgical treatment of the surface with the experience of osteosarcoma Rui Hong Luan. Yang Xiuzhi. Kang Xiaoning (Qingdao University Medical College Hospital operating room, Qingdao 266003, China) surface osteosarcoma is the origin of the cortical bone adjacent to connective tissue or periosteum, the tumor is located close to the cortical bone adjacent to the base of primary malignant bone tumor. The past treatment of osteosarcoma patients to take a more amputation, surgical trauma,[link widoczny dla zalogowanych], but mentally devastated the patients quality of life reduced. Our hospital in June 1990 March 2003 l1, the use of inactivated tumor resection replantation treatment of osteosarcoma patients, 9 cases achieved better results. Nursing now reported as follows. 1 General Information 1.1 clinical data of patients in this group 9 cases, 6 males, 3 females; aged 16 to 22 years of age; duration of 1.0 - 6.8 months; mass in the proximal tibia in 3 cases, the lower end of tibia 2 cases, 4 cases of distal femur. 1.2 treatment of 9 patients in this group to limb salvage therapy, the line inactivation of tumor resection replantation, and filled with bone cement,[link widoczny dla zalogowanych], plum blossom needle fixation stent, patients were performed before and after high-dose adjuvant chemotherapy. 1.3 Treatment of tumor resection in 9 cases the results of replantation patients were inactivated after 2 weeks in a healing wound. Were followed up for 0.6 - 9.2 years, 2 died, 1 patient relapsed, I have no survival, and 4 is chemotherapy. 2 2.1 preoperative nursing preoperative interview: such patients in younger age, fear of surgery, patients will high tension, sleepless nights, causing high blood pressure, heart rate, affect the smooth operation be. We take 1d visit patients before surgery system, the good intentions and sincere concern expressed through language, so that patients feel warm, warm, and eliminate the psychological jitters and face surgery. Preparation: 1d preoperative surgical supplies will be ready to improve, especially in special items such as plum blossom needle, bone cement, electric saws, etc. should be sterilized for use. 2,2 operative cooperation [Received Date] 2004-03-04; [Revision Date] 2004-06-20 [Author] Rui Hong Luan (1970), female. Strict check on the system operation, caring, patient, in which patients have a sense of trust and security, confidence in the surgery,[link widoczny dla zalogowanych], anesthesia for patients to help anesthetists. Affected limb taken before the surgery incision, routine disinfection of shop towels, exposed lesions. Ready ahead of time saw or wire saw, the doctor is about 5cm from the tumor border of proximal bone segment at the lesion under saws. Strictly tumor-free technology, re-repair shop a sterile table for bone tumor, the tumor completely clean cut, the tumor of bone volume fraction of 0.95 immersed in ethanol solution 3O ~ 45min, with the volume fraction of 0.25 after iodophor, sterile saline, and 43C repeatedly washed with distilled water 4 to 5 times in the reserve. Surgeon to be affected muscle tissue excision, the wound with plenty of sterile distilled water 43 ℃. Because the distilled water permeability,[link widoczny dla zalogowanych], edema, tumor cells can die, thus reducing local recurrence of tumor. Ready models suitable plum-blossom needle and bone cement,[link widoczny dla zalogowanych], usually two to help surgeons choose the length, thickness and suitable replanting plum blossom needle bone segment. Tumor of bone in the defect filled with bone cement, and wrapped one end of plum blossom. The other end into the plum-blossom needle proximal normal bone marrow, the bone cement filled with fixed attention on the bone ends together neatly. Soon after mixing the bone cement solidification, and bone cement so prepare everything before you use materials, operations do act in harmony, every second counts. Bone cement to be solidified, washed again, cut, place the drainage tube, close the incision. Wipe the skin surface blood, safe to send patients back to the ward. 2.3 postoperative pain and postoperative follow-up dose of chemotherapy the patient is facing another crisis. After 3d, without affecting the rest of the premise of the patient, the postoperative follow-up. We should be patient as their loved ones, to treatment, patient comfort ease and enhance their confidence to overcome the disease. 2.4 strict aseptic precautions to prevent wound infection; to maintain patency of venous access, timely transfusion; strictly tumor-free technology, to prevent tumor cell seeding; items ready to complete, so as not to delay of operation; not too early weight-bearing after limb; attention to the protection of the health care system, do not casually talk to patients before the illness. [Key words] Osteosarcoma; surgery; Nursing [CLC] R473.6 [Document code] B [Article ID] l008-034l (2004) 04-0362-01 (This editor Li Jianqiang)
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