一例肝胆管结石术后并发严重肠瘘患者应用伤口护理技术联合处置方案的护理  

The application of wound care technologies combined with other multiple treatments in the hepatolithiasis patient who suffered from postoperative severe intestinal fistula

作　　者：孙红玲[1] 孙艳 许彩云[1] 夏金萍[1] 方良玉[2] Sun Hongling;Sun Yan;Xu Caiyun;Xia Jinping;Fang Liangyu(Department of Specialized Nursing Clinics,the Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Endoscopy Center,the Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China)

机构地区：[1]浙江大学医学院附属第二医院专科护理门诊,杭州310009 [2]浙江大学医学院附属第二医院内镜中心,杭州310009

出　　处：《中国实用护理杂志》2021年第16期1258-1261,共4页Chinese Journal of Practical Nursing

摘　　要：目的研究伤口护理技术联合处置方案在肝胆管结石术后并发严重肠瘘患者中的应用及效果。方法分析护理难点;根据肠瘘情况运用伤口护理技术联合处理方案:多重清创技术、新型敷料皮肤保护技术、双套管持续冲洗引流、改良式冲洗负压封闭引流及伤口拉合技术,结合全身性治疗及护理干预。结果该患者伤口处理12 d肠瘘治愈,24 d伤口感染控制,历时43 d伤口愈合,患者出院。结论肝胆管结石术后并发严重肠瘘时,应用伤口护理技术联合处置方案,为肠瘘及伤口的愈合提供了新的处理思维和方案。Objective To assess the nursing care experiences and curative effects of the application of wound care technologies combined with other multiple treatments in the hepatolithiasis patient who suffered from postoperative severe intestinal fistula.Methods The wound care difficult points were analyzed,the wound care technologies combined with other multiple treatments including multiple debridement methods were applied according to the severity of the intestinal fistula:multiple debridement,new skin protection,continuous flushing and drainage with double cannula,improved negative pressure closure drainage and wound pull-in technology,combined with systemic treatment and nursing intervention.Results The intestinal fistula was treated for 12 days,and the wound infection was controlled for 24 days.Finally the wound was healed after 43 days and patient was discharged from hospital.Conclusions In the case of severe intestinal fistula after hepatolithiasis operation,the application of wound nursing technology combined with treatment scheme provides a new treatment idea and scheme for intestinal fistula and wound healing.

关 键 词：胆(肝)管-空肠Roux-en-Y吻合术 肠瘘 伤口护理技术 双套管 改良式负压封闭引流 

分 类 号：R473.6[医药卫生—护理学]