一、病例患者女,高中文化,31岁,工人。既往身体健康,性格开朗外向。因急性阑尾炎急诊入院,急诊手术治疗。患者积极要求手术,催促尽快手术。经术前常规准备,患者进入手术室,在局麻下行阑尾切除术。当打开腹腔接触肠管后,患者感觉要排气,随着手术的进行,患者症状加重。出现烦躁不安,憋气,出汗,不断地要求术者停止手术。由于患者全身用力,使腹压增加,术者只好用无菌盐水纱布压住切口处肠管,使手术暂停。二、心理分析 1.患者因阑尾炎腹痛剧烈无法忍受,故积极要求手术。当局麻下打开腹腔后,腹痛减轻,心理活动转移到手术对她所造成的不适感。 2.患者对手术的相关知识缺乏,对手术造成的不适感难以 First, patients with female patients, high school culture, 31 years old, workers. Past health, cheerful outgoing. Emergency admission due to acute appendicitis, emergency surgery. Patients actively require surgery, urging surgery as soon as possible. The routine preparation before surgery, patients into the operating room, appendectomy under local anesthesia. When the abdominal cavity is opened and the intestine is in contact with the intestine, the patient feels to be expelled. As the operation progresses, the patient’s symptoms worsen. Appear irritability, suffocation, sweating, continue to ask the surgeon to stop surgery. Due to the patient’s whole body force, so that abdominal pressure increased, the surgeon had to use sterile saline gauze to suppress the incision at the intestine, the surgery suspended. Second, the psychological analysis 1. Patients due to severe abdominal pain due to appendicitis, it is actively required surgery. After the abdomen was opened under the anesthetic, the abdominal pain was relieved and the psychological activity was transferred to the discomfort she had caused by the operation. 2. Patients lack of knowledge about the surgery, the discomfort caused by surgery is difficult