7例卵巢癌复发二次减瘤术后肠瘘的护理  

Nursing experience of intestinal fistula after secondary cytoreductive surgery in 7 patients with recurred ovarian cancer

作　　者：徐燕[1] 张跃[1] 

机构地区：[1]江苏省南通市肿瘤医院,江苏南通226361

出　　处：《实用临床医药杂志》2012年第4期14-16,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨卵巢癌复发二次减瘤术后肠瘘的护理、肠瘘发生的原因及预防措施。方法对7例卵巢癌复发二次减瘤术后肠瘘的患者行改进的引流技术,合理应用营养支持,重视病情监测及改变治疗策略等护理干预措施。结果 7例卵巢癌复发二次减瘤术后肠瘘通过治疗结合护理干预有5例行保守治疗,4例治愈,1例症状控制后自动出院,手术治疗2例均治愈出院。结论护理人员充分认识肠瘘的病因,采取主动性、针对性的护理干预,可有效降低肠瘘患者的病死率。Objective To explore the nursing experience of intestinal fistula after secondary cytoreductive surgery in patients with recurred ovarian cancer, and investigate the causes and preventative measures for intestinal fistula. Methods Nursing interventions were administered to 7 pa- tients with recurred ovarian cancer who received secondary cytoreductive surgery. Those interven- tions included improved drainage technology, proper use of nutritional support, close monitoring of progression, and changed treatment strategy. Results Seven patients with recurred ovarian cancer received secondary cytoreductive surgery. With proper nursing interventions, five of them changed to conservative treatment of intestinal fistula and four patients were eventually cured. One patient voluntarily left hospital after his condition improved. Two patients who received surgery were cured and discharged. Conclusion If nursing staff can fully understand the causes of intestinal fistula and take proper nursing interventions, the mortality rate of patients with intestinal fistula can be effec- tively decreased.

关 键 词：卵巢癌 二次手术 肠瘘 护理干预 

分 类 号：R473.5[医药卫生—护理学]