급성충수염케이스

목차

1. 간호사정
2. 진단검사
3. 병리 검사 결과 정보
4. 통증사정
5. 치료계획과 치료방법 - 외과적 수술
6. 투약 약물
7. 간호과정 적용

본문내용

procedure
● Procedure : Laparoscopic converted to open appendectomy (due to bleeding control)
● Indication - Gangrenous appendicitis
- CVA history and plavix medication
Findings
1. About 6×1.5cm sized, gangrenous appendix was located at retrocecal area.
2. The appendix was obviously involved with severe inflammation and had gangrenous change.
3. The appendix and mesentery of appendix were covered by yellowish fibrous exudate.
4. Moderate amount of yeollowish turbid fluid collection was in the peritoneal cavity.

- 수술부위 및 주변부 mesentery에서 oozing 양상의 bleeding 있었으며, severe inflammation과 plavix medication에 의한 영향으로 판단됨. CVA환자로 지혈제 사용을 피하고, 안전하게 Bleeding control 하기 위해서 open conversion하여 hemostasis 후 수술마침.

Techniques
1. General anesthesia, supine position
2. Skin preparation and routine laparoscopic drape.
3. After the gas insufflation, exploration was done.
4. Through the dissection of mesoappendix and peri-cecal area, appendiceal base, appendiceal artery was ligated.

참고 자료

성인 간호학 1, 2 (수문사)
00 교수님 수업프린트
국가건강정보포털 의학정보 http://terms.naver.com/entry.nhn?docId=2119787&cid=51004&categoryId=51004
서울대학교병원 의학정보 http://terms.naver.com/entry.nhn?docId=926728&cid=51007&categoryId=51007
KIMS 의약정보 http://www.kimsonline.co.kr