1例小肠部分切除术后并发切口裂开和肠外瘘患者的护理  

Nursing of a patient with incision dehiscence and intestinal fistula after partial small bowel resection

作　　者：陈英[1] 王坤[1] Chen Ying;Wang Kun(Taicang First People's Hospital,General Surgery,Taicang 215400,Jiangsu,China)

机构地区：[1]太仓市第一人民医院普外科,江苏太仓215400

出　　处：《医院与医学》2023年第1期36-39,共4页Hospital and Medicine

摘　　要：总结1例小肠部分切除术后并发切口裂开和肠外瘘患者的护理经验。肠瘘以肠液溢出为主要发病特点,大量的肠液外漏不仅易导致弥漫性腹膜炎的发生,严重的甚至会导致内环境紊乱,将肠瘘液及时清除,防止其对周围组织造成损害是护理的关键。主要护理要点包括:伤口负压封闭引流联合造口护理技术收集肠液、个性化营养支持、功能锻炼及心理护理。经过34天精心的治疗及护理,患者瘘口周围皮肤和切口愈合良好,效果满意,恢复良好出院。To summarize the nursing experience of a patient with incision dehiscence and intestinal fistula after partial small bowel resection.Intestinal fistula is mainly characterized by intestinal fluid overflow.A large amount of intestinal fluid leakage is not only easy to lead to diffuse peritonitis,but also can lead to internal environment disorder in serious cases.The key to nursing is to remove the intestinal fluid in time to prevent it from causing damage to surrounding tissues.The main nursing points include wound negative pressure sealing drainage combined with stoma nursing technology to collect intestinal fluid,personalized nutritional support,functional exercise,and psychological care.After 34 days of careful treatment and nursing,the skin and incision around the fistula healed well,the effect was satisfactory,and the patient was discharged from the hospital with a good recovery.

关 键 词：切口裂开 肠瘘 负压引流 护理 

分 类 号：R47[医药卫生—护理学]