Perioperative nursing care for a premature infant with congenital gastroschisis,malaria,and heart disease
10.3761/j.issn.0254-1769.2025.04.011
- VernacularTitle:1例先天性腹裂伴疟疾和心脏病早产儿的围手术期护理
- Author:
Juanjuan LIANG
1
;
Xiaoxia YANG
;
Xiaoqin XING
;
JEAN ELIE
;
Fengxiao HE
Author Information
1. 730000 兰州市 甘肃中医药大学附属医院感染性疾病科
- Publication Type:Journal Article
- Keywords:
Gastroschisis;
Malaria;
Heart Disease;
Premature;
Perioperative Care
- From:
Chinese Journal of Nursing
2025;60(4):460-463
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarizes the perioperative nursing experience of a premature infant with congenital gastroschisis accompanied by malaria and heart disease during a medical aid mission in Africa.Nursing key points include:preoperative observation and protection of the protruding intestines to prevent intestinal injury and infection,timely identification and management of arrhythmias and acute hypoxic episodes;intraoperative close monitoring of vital signs and assisting the surgeon in creating an"artificial abdominal cavity";postoperative intensification of condition monitoring and intra-abdominal pressure surveillance,standardized medication administration and rational blood transfusion to prevent complications related to gastroschisis repair,and to control malaria-related symptoms,while providing nutritional support and reinforcing health education.Through collaborative diagnosis and treatment by a multidisciplinary team along with meticulous nursing care,the infant showed improvement and was discharged after 2 weeks.A follow-up visit 2 months postoperatively revealed normal feeding,good surgical wound healing,no recurrence of acute hypoxic episodes,and a persistent systolic murmur auscultated over the precordium.
