3例消化道高流量瘘患儿行消化液回输联合接力式营养支持的护理  

Application of relayed parenteral and enteral nutrition support assisted by digestive fluid reinfusion in the nursing care of 3 children with high flow fistula

作　　者：杨颖 盛玉[1] 卞兰峥[1] 卢燕 章文娴 YANG Ying;SHENG Yu;BIAN Lanzheng;LU Yan;ZHANG Wenxian

机构地区：[1]南京医科大学附属儿童医院普外科,南京市210008

出　　处：《中华护理杂志》2021年第12期1838-1842,共5页Chinese Journal of Nursing

基　　金：南京医科大学科技发展基金一般项目(NMUB2018105)。

摘　　要：总结3例消化道高流量瘘患儿行胃液、胆汁、肠液回输联合接力式营养支持的护理经验。护理要点包括:营养风险筛查与评估、实施接力式营养支持治疗、进行肠内营养联合消化液回输、造瘘口的管理以及做好患儿及其家长的人文关怀等。3例患儿经过精心的治疗与护理,体重平稳增长,营养状况逐步改善,均顺利康复出院。To summarize the clinical nursing experience of 3 children with high flow fistula of digestive tract who underwent gastric fluid,bile fluid and intestinal fluid reinfusion combined with relay-type nutritional support.The key points of nursing include:nutritional risk screening and assessment,implementation of relay nutritional support treatment,enteral nutrition combined with digestive fluid reinfusion,fistula management and humanistic care for children and their parents.After careful treatment and nursing care,the weight of the 3 children increased steadily and their nutritional status improved gradually.All of them recovered and were discharged from hospital smoothly.

关 键 词：高流量瘘 接力式营养支持 消化液回输 儿科护理学 

分 类 号：R473.72[医药卫生—护理学]