1例下颌成釉细胞癌复发伴下颌及上腭鳞形细胞癌患者的护理体会  

Nursing experience of a patient with recurrence of mandibular ameloblastoma with mandibular and palate squamous cell carcinoma

作　　者：李润婕 史亚伟[1] LI Runjie;SHI Yawei(Stomatological Hospital of Nanjing Medical University,Nanjing 210000,Jiangsu,China)

机构地区：[1]南京医科大学附属口腔医院,江苏南京210000

出　　处：《中国校医》2023年第8期631-634,共4页Chinese Journal of School Doctor

摘　　要：本院收治1例下颌骨成釉细胞癌术后复发伴下颌及上腭鳞形细胞癌患者,入院后行左侧腓骨肌皮瓣转移修复术,术后发生压力性损伤、多重耐药菌感染、持续性低血压状态。该患者入院前已出现感染性瘘管,肺功能不佳,口内存在3处病变(2种不同病理分型的恶性肿瘤细胞),全身营养状态差。通过多学科科室联合诊疗,采取体位护理、湿性愈合治疗、营养支持治疗、康复护理等针对性护理措施,患者骶尾部压力性损伤完全恢复,皮瓣色质良好,生命体征平稳,顺利出院。Our hospital admitted one patient with postoperative recurrence of mandibular ameloblastoma with squamous cell carcinoma of the mandibular and upper palate.After admission,he underwent left fibular muscle flap metastatic repair,and postoperative pressure injury,multidrug-resistant bacterial infection,and persistent hypotension state.The patient had an infectious fistula before admission,poor lung function,three lesions in the mouth(two different pathotypic malignant cells),and poor systemic nutritional status.Through the joint diagnosis and treatment of multidisciplinary departments,and the targeted nursing measures such as postural nursing,wet healing treatment,nutritional support treatment,and rehabilitation nursing,the patient completely recovered from the sacrococcygeal pressure injury,had good flap color quality,stable vital signs,and was successfully discharged from the hospital.

关 键 词：口腔肿瘤 皮瓣转移修复 压迫性溃疡 护理 

分 类 号：R473[医药卫生—护理学]