For cancerous diseases, people are generally accustomed to using Western medicine for treatment, but the treatment is faced with expensive surgical costs. The difficulty of treating colorectal cancer is also very high. So is the cost of surgery for colorectal cancer high? 1. Nursing of incision infection In elderly patients with colorectal cancer, incision infection and incision dehiscence have a high incidence rate. Since elderly patients have low immune function and poor tissue healing ability, incision infection and poor healing are prone to occur. There was 1 case of incision infection in this group, and the incidence rate is reported to be low. We believe that the incision dressing should be observed for bleeding and exudate after surgery, and should be replaced at any time if contaminated. If the body temperature is continuously higher than 38.5℃, there may be complications of incision infection, and the cause should be actively found and treated in time. Second, strengthen respiratory care to prevent the occurrence of pulmonary complications. Elderly patients often have chronic lung diseases and decreased lung function before surgery. Surgery can cause a decrease in respiratory capacity, causing faster and shallower breathing. In addition, the incision is painful, and patients dare not cough. The respiratory tract sputum is more, sticky, and difficult to discharge, which is prone to pulmonary complications. Respiratory care should be strengthened within 72 hours after surgery. Respiratory care includes posture, analgesia, nebulization inhalation, sputum accumulation, sputum discharge and other aspects of care. After waking up from anesthesia, the patient's blood pressure was stable, and a semi-recumbent position was adopted after 6 hours. From the next day, the patient was regularly assisted to turn over, pat the back to cough up sputum, and at the same time, the patient was asked to press the abdominal incision with both hands and cough up sputum with force to promote the discharge of sputum retained in the respiratory tract and reduce pulmonary complications. Because we pay attention to respiratory care, only one case of lung infection occurred in this group. It shows that strengthening respiratory care is of great significance to reduce the occurrence of pulmonary complications. 3. Nursing to prevent intestinal obstruction Postoperative intestinal obstruction is mostly caused by intestinal adhesion or intra-abdominal adhesion. To avoid intestinal adhesion, after the postoperative condition stabilizes, the patient should be assisted to move in bed on the first day, and try to get out of bed and move as soon as possible to promote early recovery of intestinal peristalsis. At the same time, various drainage tubes should be kept unobstructed. Once intestinal obstruction occurs and conservative treatment such as gastrointestinal decompression is ineffective, surgical treatment should be performed as soon as possible. |
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