Perioperative care of a preterm infant with ABO hemolytic disease undergoing resection of a giant sacrococcygeal teratoma
10.3761/j.issn.0254-1769.2025.16.014
- VernacularTitle:1例ABO溶血病早产儿行巨大骶尾部畸胎瘤切除的围手术期护理
- Author:
Dan MENG
1
;
Juan XIAO
;
Yuling ZENG
;
Liping WANG
;
Xian LIU
;
Peiwei CHEN
Author Information
1. 518100 深圳市宝安区妇幼保健院手术室
- Publication Type:Journal Article
- Keywords:
ABO Hemolytic Disease of Newborn;
Premature Infant;
Sacrococcygeal Teratoma;
Perioperative Nursing
- From:
Chinese Journal of Nursing
2025;60(16):2016-2020
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the perioperative nursing experience of a premature infant with ABO hemolytic disease who underwent resection of giant Altman type Ⅰ sacrococcygeal teratoma at 43 hours after birth.Key points of preoperative nursing care include the cooperative blood transfusion to correct anemia,and the protection of tumor body,the prevention of rupture and bleeding.Key points of intraoperative nursing care include the personalized postural safety management,the target-oriented fluid therapy to maintain circulation stability,and composite insulation measures to prevent hypothermia.Key points of postoperative nursing care include sequential fluid replenishment to treat neonatal capillary leakage syndrome;protective ventilation strategies to maintain effective breathing;precision wound care,prevention and control of postoperative infection;progressive mixed feeding;to empower family members and improve the quality of continuous rehabilitation.After careful treatment and nursing care,the patient was discharged 18 days after surgery.During the 7-month follow-up,the growth and development were normal.