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英语医疗护理查房英语医疗护理查房11234ContentsCaseCaseReportKnowledgeofIntussusceptionntussusceptionTherapeuticManagementHealthHealthGuidanceforforDischargedischargedPatientsatients2英语医疗护理查房1234ContentsCaseReportKn2CaseReport3英语医疗护理查房CaseReport3英语医疗护理查房3 BIOLOGICALDATA:BIOLOGICALDATA:NameName：ChenJingyaChenJingyaSexSex：femalefemaleAgeAge：7-month-old7-month-oldDateofAdmissionDateofAdmission：2015-04-2314:402015-04-2314:40CaseReport4英语医疗护理查房CaseReport4英语医疗护理查房4ChiefComplaintChiefComplaint：paroxysmalcryingparoxysmalcryingvomitingvomitingbloodystoolbloodystool ERX-RayERX-Ray:Intussusceptionntussusception unableunabletotoresetresetCaseReport5英语医疗护理查房ChiefComplaint：CaseRepo5CaseReportAdmissionDiagnosis:AdmissionDiagnosis:AcuteIntussusceptionAcuteIntussusceptionPhysicalExamination:PhysicalExamination:T:36.9P:110/minT:36.9P:110/minR:20/minWt:7.5kgR:20/minWt:7.5kg6英语医疗护理查房CaseReport6英语医疗护理查房6Laboratoryexamination:Laboratoryexamination:routinebloodroutinebloodroutionurineroutionurinefullbiochemicalfullbiochemicalfullbloodcoagulationtestfullbloodcoagulationtestHIV,HBV,HCV,RPRHIV,HBV,HCV,RPRDateDateofof IntussusceptionIntussusception surgery:surgery:2015-04-2015-04-2323Dateofdischarge:Dateofdischarge:2015-05-052015-05-05CaseReport7英语医疗护理查房CaseReport7英语医疗护理查房7Knowledge of Intussusceptionntussusception8英语医疗护理查房KnowledgeofIntussusceptio8EtiologySymptoms&SignsDefinitionIntussusception9英语医疗护理查房EtiologySymptomsDefinitionInt9Whatisintussusception?Whatisintussusception?IntussusceptionisIntussusceptionis aa medicalmedical conditionconditioninin whichwhich aa partpart ofof thethe intestineintestine hashasinvaginatedinvaginated intointo anotheranother sectionsection ofofintestineintestine.KnowledgeofIntussusception-Definition10英语医疗护理查房Whatisintussusce10 ChildrenintussusceptionChildrenintussusception IntussusceptionIntussusception isis ancommonabdominalemergencyinchildren.Itisoneofthemostcommoncausesofabdominalobstructionininfants.KnowledgeofIntussusception-Definition11英语医疗护理查房Childrenintussusception11ETIOLOGYETIOLOGYKnowledgeofIntussusception12英语医疗护理查房ETIOLOGYKnowl12vAge:80%2yearsold,mostcommonininfantsAge:80%2yearsold,mostcommonininfantsAge:80%2yearsold,mostcommonininfantsAge:80%2yearsold,mostcommonininfants aged4-10months.aged4-10months.aged4-10months.aged4-10months.vSex:theratioofthemale-to-femaleisSex:theratioofthemale-to-femaleisSex:theratioofthemale-to-femaleisSex:theratioofthemale-to-femaleis approximately3:1.approximately3:1.approximately3:1.approximately3:1.vSeason:theseasonalpeakisinspringandSeason:theseasonalpeakisinspringandSeason:theseasonalpeakisinspringandSeason:theseasonalpeakisinspringandsummersummersummersummer.Incidence:Incidence:KnowledgeofIntussusception-Etiology13英语医疗护理查房Age:80%2yearsold,mostcom13vWhatsthereasonofWhatsthereasonofthedisease?thedisease?vWhyithappenstoWhyithappenstoinfantsmostly?infantsmostly?KnowledgeofIntussusception-Etiology14英语医疗护理查房Whatsthereasonofthedisea14Predisposingfactors:causedcausedbydisorderbydisorderoftheoftheintestinalintestinalperistalsis,peristalsis,suchassuchas:vDietaryalteration:complementarysolidfood.Dietaryalteration:complementarysolidfood.vDiseases:gastroenteritis,diarrhea,fever,etal.Diseases:gastroenteritis,diarrhea,fever,etal.vVirusinfections:adenovirus,rotavirus,Virusinfections:adenovirus,rotavirus,reovirus,echovirus.reovirus,echovirus.KnowledgeofIntussusception-Etiology15英语医疗护理查房Predisposingfactors:Knowledg15DietaryalterationKnowledgeofIntussusception-Etiology16英语医疗护理查房DietaryalterationKnowledgeof16TheThecomplementarycomplementaryfoodfoodofofchildrenchildrencancannotnotbebechangedchangedtootoosoon.soon.ItissupposedtobetransformedstepbystepItissupposedtobetransformedstepbystep.DietaryalterationKnowledgeofIntussusception-Etiology17英语医疗护理查房DietaryalterationKnowledgeof17Predisposingfactors:causedcausedbydisorderbydisorderoftheofthe intestinalintestinalperistalsis,peristalsis,suchassuchas:vDietaryalteration:complementarysolidDietaryalteration:complementarysolidfood.food.vDiseases:gastroenteritis,diarrhea,fever,Diseases:gastroenteritis,diarrhea,fever,etal.etal.vVirusinfections:adenovirus,Virusinfections:adenovirus,rotavirus,reovirus,echovirus.rotavirus,reovirus,echovirus.KnowledgeofIntussusception-Etiology18英语医疗护理查房Predisposingfactors:Knowledg18feverfever(acuteupper(acuteupperreappiratorytractreappiratorytractinfection)infection)lostitsnormalfunctionlostitsnormalfunction/enterospasm/enterospasmDiseaseKnowledgeofIntussusception-Etiology19英语医疗护理查房feverlostitsnormalfunction19Predisposingfactors:causedcausedbydisorderbydisorderoftheoftheintestinalintestinalperistalsis,peristalsis,suchassuchas:vDietaryalteration:complementarysolidDietaryalteration:complementarysolidfood.food.vDiseases:gastroenteritis,diarrhea,fever,Diseases:gastroenteritis,diarrhea,fever,etal.etal.vVirusinfections:adenovirus,Virusinfections:adenovirus,rotavirus,reovirus,echovirus.rotavirus,reovirus,echovirus.KnowledgeofIntussusception-Etiology20英语医疗护理查房Predisposingfactors:Knowledg20vResearchersesearchers suspectsuspect that infectiousinfectiousagents:rotavirus&adenovirus.agents:rotavirus&adenovirus.VirusinfectionKnowledgeofIntussusception-Etiology21英语医疗护理查房Researcherssuspectthatinfec21vIntussusception causes have not clearlyestablishedorunderstood.vThey can include infections,anatomicalfactors,andalteredmotility.vStudiestudiesandandanalysisanalysishavehavenotnotconclusivelyconclusivelyestablishedthis.establishedthis.KnowledgeofIntussusception-Etiology22英语医疗护理查房Intussusceptioncauseshaveno22vAA reviewreview ofof sparsesparse datadata onon thethe possiblepossibleassociation:association:thethe virusvirus&intussusceptionintussusceptionhashas notnot demonstrateddemonstrated untiluntil veryvery recently.recently.KnowledgeofIntussusception-Etiology23英语医疗护理查房Areviewofsparsedataonthe23SymptomsandSigns1、Generalappearance2、Paroxysmalcrying3、Biliousvomiting4、Redcurrantjellystool5、Sausage-shapedmassKnowledgeofIntussusception24英语医疗护理查房SymptomsandSigns1、General24TherapeuticManagementNonsurgicalTherapySurgicalTherapy25英语医疗护理查房TherapeuticManagementNonsur25NonsurgicalTherapyAirEnemaBariumEnema26英语医疗护理查房NonsurgicalTherapyAirEnem26NonsurgicalTherapy-BariumEnemaNonsurgicalTherapy-BariumEnema27英语医疗护理查房NonsurgicalTherapy-Barium27NonsurgicalTherapy-BariumEnemacomplicationchemicalhemicalperitonitisperitonitisNonsurgicalTherapy-BariumEnema28英语医疗护理查房NonsurgicalTherapy-BariumEn28vIntussusceptionpresenting48hours.vGoodgeneralappearance.vWithoutabdominaldistention,hightemperatureandtoxicosis.ETIOLOGYNonsurgicalTherapy-AirEnema1.IndicationsNonsurgicalTherapy-AirEnema29英语医疗护理查房Intussusceptionpresenting4292.ProcedureRestrainedthepatient,insertedtheFoleycatheterintorectum,inflatedtheballoon.NonsurgicalTherapy-AirEnema30英语医疗护理查房2.ProcedureNonsurgicalThe302.headofintussusceptum locatedinthehepaticflexureofthecolon1.beforeairclysis3.reductionoccur4.reductiongoon5.thefillingofnumerousloopsofintestine31英语医疗护理查房2.headofintussusceptum1313.SignsofCompleteReductionFree flow of air into several loops ofsmallbowelwithsimultaneousexpulsionoffeces.Stopcrying,bequiet.Disappearoftheabdominalmass.NonsurgicalTherapy-AirEnema32英语医疗护理查房3.SignsofCompleteReduction324.NursingCareofPost-airenemaCarbon test:take 0.5-1g activated carbonorally,appearinginstool6-8hourslater.Basictherapy.Dietaryguidance.Clinicalobservationclosely.NonsurgicalTherapy-AirEnema33英语医疗护理查房4.NursingCareofPost-ai33SurgicalTherapy34英语医疗护理查房SurgicalTherapy34英语医疗护理查房34 PuremanualreductionIntestinalanastomosisEterostomySurgicalTherapy35英语医疗护理查房PuremanualreductionSurgica351.SurgicalIndicationEnemafailure.Intussusception occuring more than48-72hours.Intestinalnecrosis.Intestinalperforation.SurgicalTherapy36英语医疗护理查房1.SurgicalIndicationEnemafai362.NursingDiagnosisPainAnxietyHight riskforfluidvolumedeficitPotencialcomplicaion:shockSurgicalTherapy37英语医疗护理查房2.NursingDiagnosisPainSurgi373.PostoperativeNursingInterventionMonitoringthevitalsignsandconsciousnessstate.Oralfeedingonagradualschedule-obeyingthedoctorsinstruction.SurgicalTherapy38英语医疗护理查房3.Postoperative38英语医疗护理查房培训ppt课件39 Activity:Passiveactivity3.PostoperativeNursingInterventionSurgicalTherapy40英语医疗护理查房Activity:Passiveactivity40HealthHealth GuidancefordischargedpatientsfordischargedpatientsAnimportantwaytopreventAnimportantwaytopreventintussusceptionandfinddiseasesintussusceptionandfinddiseasesintimeintime.41英语医疗护理查房HealthGuidancefor41*LivingguideLivingguide*DiseaseobservationDiseaseobservation*DietguideDietguide*SpecialcareguideSpecialcareguide42英语医疗护理查房*Livingguide42英语医疗护理查房42LivingGuide*Lettheparentsrealizetheimportanceofkeepmoving.*Enoughphysicalactivities.*Preventionofintestinaladhesion.43英语医疗护理查房LivingGuideEXERCISE43英语医疗护理查房43AdenovirusinfectionIntestinallymophfollicleshyperplasiaExcessiveintestinalStimulatetheautonomicnervoussystemperistalsisIntussusception*Preventcolds*SafetyfoodLivingGuide44英语医疗护理查房INFECTIONPREVENTIONAdenovirus44DiseaseObservation*Takeashowerinsteadofbath.*Getridoftheriskfactorsofdamagingthewound.*Ifthewoundisredorcracks,pleasegotohospital.45英语医疗护理查房DiseaseObservationWOUNDNURSI45DiseaseObservationAttentions!Ifthechildcrieswithanyparoxysmal,youhadbetterdoatimelymannerBtoexceedcheek,againsttoruleoutthepossibilityofintussucception.pain3-10monthshealthyfatinfant*colickyabdominalpain*abdominalswellingordistention*biliousvomiting*“redcurrantjellystool*sausage-shapedmass46英语医疗护理查房DiseaseObservationPainnursin46DietGuideVS47英语医疗护理查房DietGuideVS47英语医疗护理查房47Infantperiodaddassistfoodshouldfollow:keepfromlesstomorefromfinetocoarsetheoriginalisfromsingletomultipleDietGuide48英语医疗护理查房Infantperiodaddassistfood48DietGuide49英语医疗护理查房Howtoeat?DietGuide49英语医疗护理查49DietGuideAfteroperation:onceaweekin3monthsNEED:observethespirits,defecateandtheconditionofappetite.50英语医疗护理查房DietGuideAfteroperation:moni50SpecialNursingGuidepost-fistulation*Oftenchangeorcleanthecolostmybag.*Wipethestomabywarmwater.*Oftenobservetheconditionofthestoma.51英语医疗护理查房SpecialNursingGuidepost-fi51SpecialNursingGuidepost-fistulationChoose:*Morecomfortableandsoftcolostmybag.*Chooseappropriatetothesizeofthepocket.52英语医疗护理查房SpecialNursingGuidepost-fi52 for your appreciation!53英语医疗护理查房53英语医疗护理查房53
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