Microsoft Word _Appendectomy_child-CHS_FINAL.doc

Size: px

Start display at page:

Download "Microsoft Word _Appendectomy_child-CHS_FINAL.doc"

凡冯
7 years ago
Views:

1 Appendectomy for a Child Appendectomy is a surgery to remove the appendix. The appendix is a small pouch that comes off the large intestine. The appendix sometimes gets blocked and becomes infected and swollen. Signs of an infected appendix include abdominal pain in the lower right side, fever, poor appetite, nausea and vomiting. If the appendix bursts, it can make you very sick. There are two ways to do this surgery: Open appendectomy - a single incision is made in the abdomen. The doctor works through this larger incision to remove the appendix. Laparoscopic appendectomy - 3 or 4 small incisions are made in the abdomen. The doctor uses a camera and tools through the small incisions to remove the appendix. With this type of surgery, your child may recover faster, have less pain, less scarring, fewer wound problems and often spends less time in the hospital. 1

2 儿童阑尾切除术阑尾切除术是切除阑尾的手术阑尾是大肠末端的细长管腔阑尾有时候会被堵塞, 导致发炎和肿胀阑尾感染的症状包括腹部右下方疼痛, 发烧, 食欲不振, 恶心和呕吐如果阑尾破裂, 可能导致严重后果小肠胃阑尾切除术有两种方式 : 开腹阑尾切除术 (Open appendectomy)- 在腹部开一个切口医生通过这个切口切除阑尾腹腔镜阑尾切除术 (Laparoscopic appendectomy)- 在腹部开 3 或 4 个很小的切口医生通过这些小切口, 使用摄影机和工具切除阑尾施行此手术, 孩子可能康复更快, 疼痛较小, 疤痕较小, 伤口问题较少, 一般住院时间也较短大肠阑尾 Appendectomy for a Child. Simplified Chinese 1

3 To Prepare Tell your doctor what medicines your child is taking including prescriptions, over the counter medicines, vitamins and herbs. If your child has any allergies to medicines, foods or other things, tell the staff. Your child should have nothing more to drink until after the surgery. During Surgery Your child will wear a hospital gown. An IV (intravenous) is put into a vein in your child s arm or leg for giving medicine and fluids. Your child will be taken on a cart to the surgery room. A belt may be put over your child s legs for safety. Your child will be given medicine so he or she will sleep through the surgery. The medicine will be given through the IV or a face mask. The abdomen is cleaned and sheets are put over your child to keep the surgery area clean. An incision is made in your child s abdomen. With laparoscopic, 3 or 4 incisions are made. The appendix is removed. The incision(s) are closed with stitches, staples or special tapes called steri-strips. If stitches or staples are used, a bandage is taped over them. 2

4 准备工作向医生说明孩子正在服用哪些处方药物非处方药物维生素和草药如果孩子对药物食物或其它物品过敏, 须向工作人员说明孩子手术前不要喝更多饮料 ( 包括水 ), 等到术后再喝手术程序会让孩子换上医院的罩衣在孩子的手臂或腿上插入静脉注射导管, 注射药物和流体会让孩子躺在推车上推入手术室为安全起见, 可能用带子固定孩子的腿孩子会接受麻醉药, 手术中保持睡眠状态麻醉药通过静脉注射或面罩给药清洁腹部, 用布盖在孩子的身上, 以保持手术部位的清洁在孩子的腹部开一个切口如果是腹腔镜手术, 要开 3 或 4 个切口切除阑尾用缝合线缝合器或特殊胶带 ( 免缝胶带 ) 封闭切口如果使用缝合线或缝合器, 则表面要用绷带包扎 Appendectomy for a Child. Simplified Chinese 2

5 After Surgery In the Hospital Your child is taken to the recovery room and watched closely until he or she wakes up and is doing well. Your child s breathing, blood pressure and pulse are checked often. Your doctor will talk to you about your child s surgery. Most children are ready to go home in 24 hours. Medicines given during the surgery will make your child sleepy. Your child should be watched closely for 24 hours after you go home. At Home Your child should get plenty of rest. Give medicines as directed by your doctor. Call your child s doctor s office to schedule a follow up visit. Your child may take a shower. Do not let your child take a tub bath for one week after surgery. Remove the bandage(s) over the incision(s) when your child takes a shower or at least one time each day. Carefully wash the incisions with soap and water and pat dry. Put new band-aids over each incision. Change the band-aids any time they get wet or dirty. If your child has steri-strips, leave them alone. They will fall off on their own. 3

6 手术后住院期间会把孩子送到康复室接受密切观察, 直至醒来并且状态良好经常检查孩子的呼吸血压和脉搏医生会向您介绍孩子的手术情况大多数孩子可在 24 小时内出院回家手术中使用的药物会使孩子非常嗜睡孩子回家后, 应密切观察 24 小时在家中休养期间孩子应充分休息遵医嘱用药致电给医生, 安排复诊孩子可洗淋浴手术后一周内, 切勿让孩子洗盆浴孩子洗淋浴前, 取下刀口处的绷带, 或至少每天取下一次取下绷带后, 仔细用肥皂和水清洗刀口, 把水拍干每处刀口都要换新的绷带绷带潮湿或变脏后, 都要更换如果孩子使用免缝胶带, 不要动免缝胶带免缝胶带会自动脱落 Appendectomy for a Child. Simplified Chinese 3

7 It may be hard for your child to have a bowel movement after surgery. Walking and eating high fiber cereals, beans, vegetables and whole grain breads will help. Drinking a lot of liquids may also help. Your child may need to do deep breathing and coughing exercises to keep from getting a lung infection after surgery. Have your child deep breathe and cough every hour while awake and if he or she wakes up during the night. Your child should not lift objects over 10 pounds for three days. Talk to your child s doctor or nurse about other activity limits. Your child should be able to return to normal activities in about one week if laparoscopic surgery was done. If it was an open surgery, recovery may take longer. Call your doctor right away if your child has: Pain in the abdomen or shoulder area that does not go away or gets worse Increased redness, bruising or swelling A fever over 101 degrees F Chills, a cough, or is feeling weak and achy Vomiting Skin that is itchy, swollen skin or a new rash Trouble having a bowel movement or has diarrhea often 4

8 手术后, 孩子可能大便困难走动, 吃高纤维谷物豆类蔬菜和全麦面包, 均有助于缓解大便困难此外, 多喝饮料也有帮助为防止手术后发生肺感染, 孩子可能需要做深呼吸和咳嗽练习让孩子在清醒时每小时做一次深呼吸和咳嗽, 夜晚醒来时也要做手术后三天内, 孩子不应提举超过手術後三天內, 孩子不應提舉超過 4.5 公斤 (10 磅的 ) 重物向医生或护士咨询孩子须遵守哪些其它的活动限制如果是腹腔镜手术, 孩子在手术后大约一周内应可恢复正常活动如果是开腹手术, 康复时间可能会更长一些如孩子出现以下情况, 立即致电医生: 腹部或肩部疼痛, 持续不退或恶化发红瘀伤或肿胀加剧发烧超过摄氏 38 度 ( 华氏 101 度 ) 畏寒咳嗽或感到虚弱和头痛呕吐皮肤搔痒肿胀或新出现皮疹大便困难或经常腹泻 Appendectomy for a Child. Simplified Chinese 4

9 Call 911 right away if: The incisions come apart. There is new bleeding from the incisions. Your child has trouble breathing all of a sudden. Your child has chest pain. Talk to your doctor or nurse if you have any questions or concerns. 2/2008. Developed through a partnership of The Ohio State University Medical Center, Mount Carmel Health, OhioHealth and Nationwide Children s Hospital, Columbus, Ohio. Available for public use without copyright restrictions at Unless otherwise stated, user may print or download information from this site for personal, non-commercial use only. The medical information found on this website should not be used in place of a consultation with your doctor or other health care provider. You should always seek the advice of your doctor or other qualified health care provider before you start or stop any treatment or with any questions you may have about a medical condition. Ohio State University Medical Center, Mount Carmel Health, OhioHealth and Nationwide Children s Hospital are not responsible for injuries or damages you may incur as a result of your stopping medical treatment or your failure to obtain medical treatment. 5

10 如果有以下情况, 立即致电 911: 刀口迸裂刀口重新出血孩子突然呼吸困难孩子胸痛如果有任何疑问或担心, 请咨询医生或护士 2/2008. Developed through a partnership of The Ohio State University Medical Center, Mount Carmel Health, OhioHealth and Nationwide Children s Hospital, Columbus, Ohio. Available for public use without copyright restrictions at Unless otherwise stated, user may print or download information from this site for personal, non-commercial use only. The medical information found on this website should not be used in place of a consultation with your doctor or other health care provider. You should always seek the advice of your doctor or other qualified health care provider before you start or stop any treatment or with any questions you may have about a medical condition. Ohio State University Medical Center, Mount Carmel Health, OhioHealth and Nationwide Children s Hospital are not responsible for injuries or damages you may incur as a result of your stopping medical treatment or your failure to obtain medical treatment. Appendectomy for a Child. Simplified Chinese 5

Pneumonia - Traditional Chinese

Pneumonia - Traditional Chinese Pneumonia When you have pneumonia, the air sacs in the lungs fill with infection or mucus. Pneumonia is caused by a bacteria, virus or chemical. It is not often passed from one person to another. Signs