严重腹腔感染患者的损伤控制治疗和护理  

Damage control surgical treatment and nursing care to patients with severe abdominal infection

作　　者：张彩霞[1] 刘宏斌[1] 赵丽君[1] 吴金玲[1] 何翠[1] 黄莉莉[1] 赵文芳[1] 吴海霞[1] 苏琳[1] 

机构地区：[1]兰州军区兰州总医院普通外科,甘肃兰州730050

出　　处：《现代临床护理》2017年第4期52-55,共4页Modern Clinical Nursing

基　　金：中国博士后科学基金科研项目;项目编号为2015M572710

摘　　要：目的了解损伤控制的理念在治疗严重腹腔感染患者中的效果并探讨其护理经验。方法对10例严重腹腔感染患者实施损伤控制治疗,包括行损伤控制性手术,改善患者的病理生理状态和再次手术修复,与其相对应的护理措施包括尽快完善术前准备,预防并发症、腹腔双套管引流的护理、肠内营养支持和病情观察,调动患者主观能动性。结果本组10例患者中有2例发生吻合口瘘、1例发生肺部感染,均治愈。10例患者住院时间14~29 d,治愈出院。结论损伤控制性治疗是严重腹腔感染患者理想的治疗策略,做好相应的护理对提高治疗效果具有积极的作用。Objective To investigate the application of damage control surgical treatment in the patients with severe abdominal infection and its nursing experience.MethodsToally 10 patients with severe abdominal infection were treated with damage control measures,including damage control surgery,improvement of pathological and physiological status of patients and surgical re-repairing,and the corresponding nursing measures including rapid completion of preoperative preparation,prevention of complications,nursing care to abdominal double cannula drainage,enteral nutrition and disease observation and mobilization the subjective initiative of patients.Results The average hosptitalization time was 21 days（14~29 days）.There were 2 cases of anastomotic leakage and 1 case of pulmonary infection who all were cured after 14~29 d.ConclusionDamage control surgery is an effective treatment strategy for patients with severe abdominal infection and the corresponding nursing plays a positive role in improving the treatment effect.

关 键 词：腹腔感染 损伤控制 护理 

分 类 号：R473[医药卫生—护理学]