24例剖宫产术后腹壁切口子宫内膜异位症患者的护理.docVIP

精品论文 参考文献 24例剖宫产术后腹壁切口子宫内膜异位症患者的护理 高长燕1 叶国柳2 张淑琴1 　　（1蚌埠医学院第一附属医院供应室 安徽蚌埠 233004） 　　（2 蚌埠医学院第一附属医院妇产科 安徽蚌埠 233004） 　　【摘要】目的 探讨剖宫产术后腹壁切口子宫内膜异位症的临床特点及护理措施。方法　回顾性分析本院收住腹壁切口子宫内膜异位症24例的临床资料。护理重点为术前前重视心理护理，并完善手术及治疗准备；术后指导患者合理休息和活动.重视饮食护理和预防压疮，加强病情观察，及时发现处理不良情况，预防感染，同时做好健康指导。结果　24例患者均在腹壁切口疤痕处发现肿块，B超检查提示腹壁内低回声肿块，手术治疗后，症状、体征全部消失，随诊１ ～３年，均未复发。结论　根椐典型的病史，体征可明确诊断，发生原因与剖宫产有关，手术切除为主要治疗方法，良好的心理护理是提高患者的治疗信心和积极配和手术的关键。 　　【关键词】 剖宫产 腹壁切口子宫内膜异位症 护理 　　【中图分类号】R473.71 【文献标识码】A 【文章编号】2095-1752（2013）31-0162-01 　　Nursing care of 24 cases of abdominal incisional endometriosis after caesarean section 　　GAO Chang-yan1 YE Guo-Liu 2ZHANG Shu-Qin1 　　1 Disinfection supply room, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004;) 　　2. Department of Obstetrics and Gynecology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004; 　　【Abstract】 Objective: Study of abdominal incisional endometriosis after cesarean section: clinical features and nursing measures.Methods: Retrospective analysis of hold abdominal incisional endometriosis clinical data of 24 cases of our hospital. The key points of nursing for preoperative psychological nursing before operation, and perfect preparation and treatment; patients were instructed to reasonable rest and activity after operation. The importance of diet nursing and prevention of pressure ulcers, strengthen the observation, discover the adverse situation, prevention of infection, at the same time, health guidance.Results: 24 cases were found tumor in abdominal wall incisional scar, B ultrasound examination showed abdominal wall hypoechoic mass, operation treatment, symptoms, signs disappeared, followed up for 1 ～ 3 years, no recurrence was found.Conclusions: According to the typical history, check off can clear diagnosis, the relevant reasons and cesarean section operation, surgical resection is the main treatment method, good psychological nursing is