文档介绍：宜春职业技术学院2010届毕业论文
急性阑尾炎手术室中的护理体会
护理系(院)护理专业
宁安
指导教师: 护师
2010年4月
【摘要】阑尾炎是一常见病、多发病,急性阑尾炎是外科最常见的急腹症。本病可以发生于任何年龄,以青壮年多见。临床上以转移性右下腹痛,右下腹固定的压痛点为主要特征。急性阑尾炎一旦明确诊断均宜手术,一般采用阑尾切除术。
【关键词】 急性阑尾炎  手术  护理
【Abstract】appendicitis is mon disease, acute appendicitis is the mon surgical acute abdomen. This disease can occur at any age, mon in young adults. Right lower abdominal pain with clinical metastatic, right lower quadrant tenderness fixed point as the main feature. Once a definite diagnosis of acute appendicitis were advised surgery, generally appendectomy.
【Key words】 acute appendicitis care
目录
中文摘要、关键词··································1
英文摘要、关键词·································2
1、临床资料········································4
2、护理············································4
3、讨论···········································6
参 考 文 献·········································7
急性阑尾炎手术室中的护理体会
 1、临床资料
     一般资料  
收治急性阑尾炎患者80例,男51例,女29例,年龄12~82岁,平均36岁,急性单纯性阑尾炎65例,急性化脓性阑尾炎15例。所有阑尾炎在确诊2~3h后行阑尾切除术。患者均手术顺利,无严重并发症发生。住院日3~22日,平均住院日6日。
     临床表现
   急性阑尾炎的典型表现为转移性右下腹痛,始于上腹,逐渐移向脐周,数小时(6~8h)后转移并局限在右下腹。若病情发展快,腹痛一开始即可局限于右下腹,而无转移性右下腹痛病史。若持续性剧痛范围扩大,波及腹大部或全腹,是阑尾坏死或穿孔并发腹膜炎的表现。发病早期可能有厌食,恶心、呕吐也可发生,但较轻。盆腔位阑尾炎刺激直肠和膀胱,引起排便里急后重症状。弥漫腹膜炎时可致麻痹性肠梗阻,腹胀、排气排便减少。早期体温正常或轻度增高,当阑尾化脓或形成坏死疽后,体温明显增高,有脉搏、呼吸增快、精神萎靡等全身中毒症状。
     
急性单纯性阑尾炎,最好行阑尾切除术,也可在严密观察下行抗炎等保守治疗。急性化脓性、坏疽性阑尾炎,急诊手术治疗。阑尾周