1例多原发性恶性肿瘤伴全内脏转位患者的护理  

Nursing care of a patient with synchronous multiple primary malignant tumor and situs inversus totalis:a case report

作　　者：朱慧娣[1] 李燕 江月红 李贝贝[1] 徐巧英 赵雪红[2] ZHU Huidi;LI Yan;JIANG Yuehong;LI Beibei;XU Qiaoying;ZHAO Xuehong

机构地区：[1]浙江大学医学院附属第一医院胃肠外科,杭州市310013 [2]浙江大学医学院附属第一医院护理部,杭州市310013

出　　处：《中华护理杂志》2023年第11期1357-1360,共4页Chinese Journal of Nursing

基　　金：浙江省医药卫生科研项目(2022KY787);浙江省医药卫生科研项目(2022KY749)。

摘　　要：总结1例多原发性恶性肿瘤伴全内脏转位患者的护理经验。护理要点:成立个案护理小组;基于生理学和手术严重性进行手术风险的预测,制订个体化预康复管理策略,做好风险防控护理;梳理左右侧相关的操作,培养全内脏转位的反向思维能力;充分进行肠道准备,降低消化道张力;术后做好消化道瘘的预防及护理;出院后继续做好延伸护理。患者术后36 d出院,随访3个月,胃纳好,体重有增加。To summarize the nursing experience of a patient with synchronous multiple primary malignant tumors and situs inversus totalis.Key points of nursing:establishing a case nursing group;predicting the surgical risk based on physiology and surgical severity,using individualized multimodal pre-rehabilitation management strategies,doing a good job in risk prevention and control nursing;sorting out the relevant operations on the left and right sides,cultivating the reverse thinking ability of total situs inversus;adequate bowel preparation,reducing gastrointestinal tension;doing a good job in the prevention and nursing of gastrointestinal fistula after surgery;continuing to do a good job in extended nursing after discharge.The patient was discharged 36 days after surgery and followed up for 3 months with good appetite and weight gain.

关 键 词：全内脏转位 多原发性恶性肿瘤 护理 

分 类 号：R473.73[医药卫生—护理学]