收稿日期:2017 — 01 — 29)
近年来,儿童微创手术由于其良好的临床和美容效果得以普及,手术种类几乎涵盖了所有儿科手术类型,进而对术中护理及手术协助也提出了新的要求。良好的术中护理协助能缩短手术时间,减轻手术创伤,有利于术后康复。本文介绍婴幼儿胸腹腔镜手术中管理的相关注意事项,回顾了上海新华医院过去8年中400余台小婴儿胸腹腔镜手术配合的体会,就婴幼儿胸腹腔镜手术配合进行讨论。文章总结了一些特殊器械的护理,并介绍自制镜下微型磁铁的制作和应用,以及如何避免和减少术中因常温CO2气体导致患儿体温下降的措施。
In recent years, due to satisfactory clinical and cosmetic outcomes, mini-invasive pediatric surgery has been gaining popularity in various subspecialties. Thus, intraoperative care and surgical assistance also need to update new requirements. Meticulous intraoperative care may shorten operative duration, reduce surgical trauma and accelerate postoperative recovery. Some important issues of infantile thoracoscopic and laparoscopic intraoperative managements are introduced here. The authors review the experiences of over 400 laparoscopic mini-invasive surgeries with infants over the past 8 years. Nursing skills are summarized for some special instruments and laparoscopic tiny magnets introduced. We also introduced the measures of preventing intraoperative hypothermia caused by carbon dioxide of room temperature.
