北京中医药大学东方医院 手术室, 北京, 100078
张磊, E-mail: 81288092@qq.com
收稿:2026-05-28,
修回:2026-06-29,
录用:2026-06-29,
网络首发:2026-09-07,
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张妍, 张磊. 1例腹腔镜下胰十二指肠切除术体位摆放的护理体会[DB/OL].中西医结合临床案例库, 2026.
ZHANG Yan, ZHANG Lei. Nursing Experience of Patient Positioning in Laparoscopic Pancreaticoduodenectomy: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
张妍, 张磊. 1例腹腔镜下胰十二指肠切除术体位摆放的护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202605280001.
ZHANG Yan, ZHANG Lei. Nursing Experience of Patient Positioning in Laparoscopic Pancreaticoduodenectomy: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202605280001.
本文总结腹腔镜下胰十二指肠切除术体位摆放的护理要点与临床意义,主要包括术前访视、体位用物准备、改良平卧分腿位精准摆放流程、术中体位监护与并发症防控等系统化体位护理措施。通过梳理体位护理的流程与实践经验,旨在实现体位摆放顺利,术野充分暴露,术中生命体征平稳,避免压力性损伤、神经损伤、呼吸循环紊乱及体位移位等并发症的发生。
This article summarizes the key points and clinical significance of patient positioning in laparoscopic pancreaticoduodenectomy. It mainly encompasses systematic positioning nursing measures, including preoperative patient visits, preparation of positioning supplies, precise placement procedures in a modified supine position with split legs, intraoperative position monitoring, and prevention of complications. By reviewing the procedures and practical experience of positioning nursing, this article aims to achieve smooth positioning, adequate exposure of the surgical field, stable intraoperative vital signs, and avoidance of complications such as pressure injuries, nerve injuries, respiratory and circulatory disturbances, and intraoperative position displacement.
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