胰十二指肠切除术术后护理体会（Nursing experience of pancreatoduodenectomy after operation）.docVIP

胰十二指肠切除术术后护理体会（Nursing experience of pancreatoduodenectomy after operation） [keyword] pancreas duodenum Pancreaticoduodenectomy is a complex and a lot of trauma of abdominal surgery, including resection of the duodenum, adjacent parts of the pancreas, bile duct, part of the stomach and upper jejunum anastomosis, and the need for common bile duct and pancreatic duct, stomach and jejunum. If postoperative care is improper, the consequences are serious and even life-threatening. The nursing experience of 20 cases is reported as follows. 1 clinical information There were 20 patients, 12 males and 8 females, aged 50~60 years. There were 9 cases of pancreatic head cancer, 6 cases of bile duct carcinoma, 5 cases of duodenal malignant tumor. Pancreatoduodenectomy was performed. After operation, the jaundice disappeared, the digestive function recovered well, the complications were less, and the patients were discharged from the hospital on average for 8 weeks. 2 nursing Essentials 2.1 general nursing pancreatoduodenectomy operation complex, observation items are more, we should closely observe the changes in vital signs. 3 days after surgery, blood pressure, pulse and respiration should be measured every 60min. Blood pressure, pulse and respiratory stability were measured once every 4H for 1 weeks. Accurately record 24h intake and output. There are more drainage fluid in the abdominal cavity after 48h, and if it is not given in time, the circulating blood volume will be reduced or even shock. The volumes of bile, peritoneal exudate and the volume of gastrointestinal decompression suction were accurately recorded daily, and the amount of urine was estimated to be adequate according to urine volume. The blood glucose of the finger tip was monitored every 4h, and the amount of insulin was adjusted according to the blood sugar. 2.2 the observation and nursing of the drainage tube require indwelling gastric tube, abdominal cavity outflow tube, T type tube, pancreatic drainage tu