左半结肠癌手术护理文件（Nursing care document for operation of left colon cancer）.docVIP

左半结肠癌手术护理文件（Nursing care document for operation of left colon cancer） Left colectomy is a surgical procedure for the treatment of colon cancer. The resection range: transverse left section, splenic flexure, descending colon and sigmoid colon, rectum and the right section of the proximal anastomosis of colon or sigmoid colon cancer should also be of inferior mesenteric artery and vein separation, ligation, cut along the paraaortic lymph node clearance from top to bottom. Indications: 1. colon cancer or sigmoid colon cancer. 2. colon and sigmoid colon, severe ulcerative colitis or multiple polyps. 3. sigmoid colon or descending colon diverticular Inflammation Complicated with obstruction. 4. sigmoid volvulus, necrosis, or stenosis Preoperative preparation 1. patients often suffer from anemia and hypoproteinemia, and should be improved as soon as possible. Given a diet rich in nutrients and less in residue, use fluids before surgery and blood or plasma if necessary. 2. pay attention to the examination of heart, lung, liver, kidney and other important organ functions, coagulation mechanism and distant metastasis. 3. bowel preparation 3 ~ 5 days, including: 1 if there is constipation, admission to start with a laxative. The 3 days before operation, mannitol oral or enema once a night, the night before surgery for cleaning enema. The preoperative 3 ~ 5 day oral sulfa drugs and antibiotics such as metronidazole (24 hour before operation in oral sulfa drugs based on oral neomycin, 2G each time, 1 times every 6 hours). Kanamycin has no obvious irritation to the gastrointestinal tract and is less prone to diarrhea than neomycin. Oral administration 72 hours before surgery, 1 times per hour, 4 times a day, 1 times every 6 hours, 1g to 1g every time before surgery. For the elderly and infirm, before and after the use of antibiotics, and those who can take nystatin at the same time 3 times a day, 1 million U each time, in order to inhibit the growth of mold. Vitamin K should be