摘要：目的：探讨成人先天性巨结肠症的围手术期护理。方法：回顾分析1985年4月至2003年12月收治的8例成人先天性巨结肠症的临床资料。男6例，女2例，年龄14岁至40岁，无神经节细胞段在乙状结肠远端和直肠2例；直肠6例。1例作永久性结肠造痿，6例作Ikeda法手术，另1例作改良Swenson法手术。结果：仅1例术后切口感染，7例根治手术者术后排例功能优。结论：有效的围手术期护理可降低术后感染性并发症。

    关键词：先天性巨结肠症；拖出型手术；围手术期护理

    Perioperative Nurse of Adult Hirschsprung's Disease

    SUN Yan,WU Qu-hui,CHEN Yong-tian

    (The Second Affiliated Hospital of Nanjing Medical University, Jiangsu Nanjing 210011,China)

    Abstract: Objective: To investigate the perioperative nurse for adult Hirschsprung's disease (HD). Method: 8 patients of HD were performed procedure April 1985 to December 2003. 6 patients were male. 2 patients were female. Their age ranged from 14 years to 40 years. 2 cases were distal sigmoid and rectal Aganglionosis, 6 cases were rectal Aganglionois. Colostomy was operated in one case, Ikeda's procedure was performed in 6 cases and one case was treated by modified swenson's procedure. Result: 7 patients who were performed through out procedure had excellent continence. Only one case occurred wound infection. Conclusion: The effective perioperative nurse may reduced infective complictions. ......