摘要
总结1例皮罗氏综合征患儿行双侧下颌骨截骨牵引术带蒂肌皮瓣转移术前术后的护理经验。其护理要点包括：术前给予俯卧位或侧卧位保持呼吸道通畅，改变体位后呼吸困难的症状仍未得到改善，通过气管插管来解决气道梗阻问题；选择合理喂养方式；做好术前检查。术后加强对牵引及疼痛的护理，合理喂养，做好出院指导。本例患儿呼吸窘迫和喂养困难情况在术后均得到改善，顺利出院。
关键词： 皮罗氏综合征；下颌骨截骨牵引术带蒂肌皮瓣转移术；护理
Abstract
Summarizes the nursing experience before and after a child with Piro's syndrome who underwent bilateral mandibular osteotomy, traction and pedicled myocutaneous flap transfer. The key points of nursing include: giving prone or lateral position to keep the airway open before surgery, and the symptoms of dyspnea after changing the position are still not improved, and solving the problem of airway obstruction by endotracheal intubation; choosing a reasonable feeding method; and doing a good preoperative examination. After surgery, strengthen the care of traction and pain, feed reasonably, and do a good job of discharge guidance. The child's respiratory distress and feeding difficulties were improved after surgery, and he was discharged smoothly.
Key words： Piro's syndrome; Mandibular osteotomy, Traction and pedicled myocutaneous flap transfer; Nursing
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