1 例胆总管恶性肿瘤的全程治疗护理体会分析
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戴雪梅
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无锡市惠山区人民医院，江苏无锡，214000
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摘要：目的 本个案分析旨在分享 1 例胆总管恶性肿瘤患者的全程治疗护理经验，探讨有效的护理措施对患者术后恢复和生活质量的影响。方法 根据患者的病情及治疗阶段，制定并调整个性化的护理方案。术前，进行详细的身体评估和心理疏导，重点关注患者的营养支持和身体状况，增强术前体力。术中，配合手术团队进行严格无菌操作，密切监测生命体征，确保手术顺利进行。术后，根据患者的具体情况，实施有效的疼痛管理，预防感染和并发症的发生，同时给予心理支持，帮助患者渡过康复期。结果 在医护团队的共同努力下，患者手术顺利完成，术后恢复情况良好，生命体征稳定，疼痛得到有效控制，无明显感染及其他并发症。患者的心理状态稳定，对治疗过程表现出积极配合，最终顺利出院。结论 通过专科医护团队和多学科团队的协作，针对胆总管恶性肿瘤患者的全程治疗护理，进行全方位的综合护理，可以显著提高患者的术后恢复质量，减少并发症的发生，并为此类患者的护理提供了宝贵的经验借鉴。
关健词：胆总管；恶性肿瘤；全程治疗；护理
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Analysis of nursing experience in the full course treatment of a case of malignant tumor of the common bile duct
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Xuemei Dai
from Huishan District People's Hospital, Wuxi Jiangsu，214000, China
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Abstract：Objective This case study aims to share the comprehensive treatment and nursing experience of a patient with malignant tumor of the common bile duct, and explore the impact of effective nursing measures on the patient's postoperative recovery and quality of life. Methods Develop and adjust personalized nursing plans based on the patient's condition and treatment stage. Before surgery, a detailed physical assessment and psychological counseling should be conducted, with a focus on the patient's nutritional support and physical condition, to enhance preoperative physical strength. During the operation, cooperate with the surgical team to perform strict aseptic procedures, closely monitor vital signs, and ensure the smooth progress of the surgery. After surgery, effective pain management should be implemented based on the patient's specific condition to prevent infection and complications, while providing psychological support to help the patient get through the rehabilitation period. Results With the joint efforts of the medical team, the patient's surgery was successfully completed, the postoperative recovery was good, vital signs were stable, pain was effectively controlled, and there were no obvious infections or other complications. The patient's psychological state is stable, showing positive cooperation in the treatment process, and ultimately being discharged smoothly. Conclusion Through the collaboration of specialized medical teams and multidisciplinary teams, comprehensive nursing care can be provided for patients with malignant tumors of the common bile duct, significantly improving the quality of postoperative recovery, reducing the occurrence of complications, and providing valuable experience and reference for the nursing of such patients.
Keywords : common bile duct; Malignant tumors; Full course treatment; nursing
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