ESD/EMR围手术期护理Chapter 5 Perioperative care of E...
学习目标
1.了解ESD/EMR围手术期护理
2.掌握ESD/EMR常见并发症及判断处置
3.掌握以下词汇
accident 意外事件
anti-inflammatory 抗炎
irritability 烦躁，亢奋
complication 并发症
Zhang Yi is a patient in bed #36.He has gastric stromal tumor and will undergo endoscopic submucosal dissection (ESD)tomorrow.Sun Yue is his primary nurse.She is talking with Zhang Yi and giving him a health instruction.
Sun Yue: Hello, Zhang Yi.You will undergo operation tomorrow, and I am here to tell you about what you should do before it.
Zhang Yi: Ok, I am quite worried right now.I have some questions.What procedure do I have to go through tomorrow? And what should I pay attention to?
Sun Yue: Just relax.I will explain it to you in detail.We have completed relevant examinations for you, such as chest X-ray,abdominal ultrasound, blood routine, blood coagulation and other exams and tests, all of which turn out to be normal.For now, you need to stop eating after 8 pm, and stop drinking after 10 pm.After the procedure, of course, you still can't eat anything until the doctor allows you to.
Zhang Yi: Is there any possibility for accident during the operation?
Sun Yue: First, you should trust your doctor.ESD is an safe and effective endoscopic procedure to remove gastrointestinal stromal tumors (GISTs).After the operation, you still need to avoid food and have a good rest in bed.We will monitor your blood pressure, pulse, respiration, blood oxygen saturation and other vital signs, and provide intravenous therapies such as acid suppressing,nutritional support and other infusion treatments.
If you have abdominal pain, stomach discomfort, irritability and other conditions, tell me right away.Bleeding and perforation are the main complications of this operation.It can be cured by treatment in the early phase.Second, just relax yourself.Excessive tension can also cause abdominal discomfort.
Zhang Yi: Okay.So, what else do I need to do after the operation?
Sun Yue: In short, avoid food, rest, relax, and take medication.Ifyou need help, just let me know.
Zhang Yi: Ok.Thank you.I will keep your words in mind.
译文
张毅是36床患者，患胃间质瘤，明天要做ESD。孙悦是他的责任护士，正在和他对话并给予他关于手术的健康宣教。
孙悦：嗨，张毅，明天你就要做手术了，我来告诉你在手术之前要做些什么。
张毅：好的，但我现在很紧张。我有几个问题：我明天要做什么手术，我需要注意什么？
孙悦：不要紧张，我会逐一向你解答。首先，我们已经给你完善了相关检查，如X线胸片、腹部B超、血常规、凝血功能等检查。目前，这些检查均无异常。你现在需要做的是今晚8点以后禁食，10点以后禁水。当然，术后仍需要禁食，直到医生告知开放饮食。
张毅：手术会有什么意外吗？
孙悦：首先你应该相信医生。ESD治疗胃间质瘤是安全且有效的，我们会严密观察你的情况。术后你仍需要禁食，绝对卧床休息，我们会监测你的血压、脉搏、呼吸、血氧饱和度等生命体征，同时给予抗炎、抑酸、营养支持等输液治疗。
如果你有腹痛、腹部不适、烦躁等情况及时告诉我。出血和穿孔是这个手术主要的并发症，但早期发现，积极地对症治疗后可以治愈。其次，你需要放松，过度紧张也会导致腹部不适。
张毅：好的，手术结束后，我还需要配合做什么？
孙悦：简而言之，禁食、休息、放松、配合用药，有情况及时告知我。
张毅：好的，谢谢。我会记住你说的话。