Perioperative care of patients with retroperitoneal dedifferentiated liposarcoma combined with multiple organ resection
10.3760/cma.j.cn211501-20240130-00262
- VernacularTitle:腹膜后去分化脂肪肉瘤联合多脏器切除患者的护理
- Author:
Haibin ZHANG
1
;
Jing ZHANG
;
Di MENG
;
Wei WEI
Author Information
1. 浙江大学医学院附属第一医院护理部，杭州 310003
- Keywords:
Differentiated liposarcoma;
Multiple organ resection;
Perioperative care
- From:
Chinese Journal of Practical Nursing
2024;40(20):1582-1587
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the perioperative nursing experience of 10 patients with retroperitoneal dedifferentiated liposarcoma combined with multiple organ resection admitted to the First Affiliated Hospital of Zhejiang University School of Medicine from June 2022 to June 2023. Nursing care points include preoperative personalized exercise to improve cardiopulmonary function, multi-stage nutritional intervention to improve malnutrition, multi-form psychological care to relieve patients′anxiety and depression, prevention of infection and bleeding risk during the pre-positioning of the double J-tube. Postoperative care includes dynamic monitoring of hemodynamic indicators to guard against hypovolemic shock, close observation of drainage tubes for early recognition of complications such as intestinal leakage and urinary leakage, active intervention in gastroparesis syndrome with traditional Chinese medicine care and guarding against renal reflex anuria. Ten patients were discharged from the hospital after thoughtful and meticulous care. After 3 months of follow-up, the patients recovered well and lived a normal life.
