肠瘘22例护理体会  

Nursing experience of 22 cases of intestinal fistula

作　　者：季铭[1] 

机构地区：[1]郑州人民医院周围血管外科,河南郑州450003

出　　处：《河南医学研究》2011年第1期82-83,共2页Henan Medical Research

摘　　要：目的:探讨标准护理计划的建立和实施在肠瘘治疗中的价值。方法:回顾性调查郑州人民医院自2007年7月至2010年8月收治肠瘘病人22例,给予封闭式负压冲洗引流、营养支持等综合性治疗,同时建立标准护理计划,围绕肠瘘引起的水电解质失衡、营养障碍及促进瘘口愈合而采取相应的护理措施以达到纠正内稳态失衡、控制感染、保护重要脏器功能的目的,对病人治疗中并发症的发生和愈后结果进行观察和总结。结果:本组2例病人因就诊时间较晚,感染较重引起死亡,其余20例瘘口自行愈合。瘘口平均愈合时间为(102.4±153.6)d。结论:标准护理计划的建立和实施是肠瘘治疗中重要措施。Objective：To investigate the value of the standard care plan development and implementation in the treatment of intestinal fistula. Methods：22 cases data of intestinal fistula patients in our hospital from July 2007 to August 2010 were retrospective surveyed.The patients were comprehensive treated with a closed suction irrigation drainage,nutrition support et al,and standards care plan was established,which include the measure for the water and electrolyte imbalance,nutritional disorders and promote fistula healing,and achieve to the correct unbalance,control infection,and protect important organs.Then the results were analyzed. Results：2 patients died for treatment late and severe infection,and the remaining 20 patients were healed spontaneously.The average healing time of fistula was（102.4±153.6）d. Conclusion：The establishment and implementation the standard care plan are important measures in the treatment of intestinal fistula.

关 键 词：肠瘘 护理 并发症 

分 类 号：R473[医药卫生—护理学]