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Cardiac Carcinoma postoperative care

Postoperative care for Cardiac Carcinoma:
1. Maintain gastrointestinal smooth. 24 ~ 48h after drainage of a small amount of blood, should be regarded as normal, such as the blood leads to a large number of doctors should be reported immediately to deal with. Decompression tube should be kept 3 to 5 days, in order to reduce anastomotic tension in order to facilitate healing. Attention to tube connection is accurate, reliable fixed to prevent the prolapse, unobstructed drainage.

2. Observed pleural drainage. Pleural fluid drainage, such as unusual bleeding, turbid fluid, food residue or chylous fluid discharge, the chest has prompted active bleeding, esophageal anastomotic leakage or chylothorax should take corresponding measures, a clear diagnosis, to be addressed. If there is no anomaly, after 1 to 3 days allocated in addition to drainage tube.

3. Strictly controlled diet. Esophageal lack of serosal layer, the slower the healing anastomosis, after fasting and should be strictly forbidden water. Fasting period, daily by intravenous infusion. Duodenal drip tube placed, will be in operation on the 2nd after the resumption of bowel movements after instillation catheter nutrition to reduce the infusion volume. Article 5 after the operation, such as changes in the absence of exceptional conditions, can be consumed by the population of milk, per 60ml, each 2hl times during the interval can be equal to the boiling water, in the absence of adverse reactions to daily increments. After the first 10 to 12, semi-liquid to non-residue diet, but it should be noted to prevent the rapid and excessive consumption.

4. Observe the symptoms of anastomotic leakage. Esophageal anastomotic leakage of the clinical manifestations of high fever, rapid pulse, difficulty in breathing, chest pain, can not endure; ipsilateral breath sounds low, percussion dullness, interleukin shock even higher. Principles:

  • pleural drainage, to promote lung expansion;
  • choice of antibiotics effective anti-infective;
  • added adequate nutrition and calories. At present, selection of total parenteral nutrition (TEN) after gastrostomy feeding treatment, the effect of the exact satisfaction.

    Process in postoperative discomfort:
    After the operation, patient have many discomfort such as acid regurgitation, easy satiety, cough, because resection of the cardia, and stomach emptying function, so the food and gastrointestinal gastric reflux to the esophagus can sometimes cause discomfort, after the above-mentioned diet and postural adjustment measures, generally can be mitigated, such as still can not ease, you can take a number of drugs such as omeprazole, it be controlled, such as bite-lam. If you have diarrhea, often with surgery-related gastrointestinal disorders, in addition to food other than to clean up, should avoid eating greasy food, so as not to aggravate diarrhea after eating conditioning, if still beyond the control of diarrhea, may take some Zhixie drug. If you feel there are needle-like surgical wound pain and numbness, which is surgery to cut off the nerves of the chest wall, a few months of this discomfort will subside slowly.

    Healthy diet for Cardiac Carcinoma Postoperative:
    After surgery should be eating semi-liquid food, such as lotus root starch, porridge, the rice, noodle paste, gradually dilute body up, about a month after a normal diet can be. Need to have more meals a day but less food at each, when eating slowly. A variety of food as long as it is light, fresh and full of nutrition, are easy to digest food, do not eat spicy food stimulation, ban alcohol and tobacco.

    • Submitted by Health Studies on Wed, 04/15/2009 - 18:30
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