1例直肠癌回肠造口术后继发肠外瘘患者的护理  

Nursing care of a rectal cancer patient with intestinal fistula using fistula isolation technique combined with zonal management

作　　者：王惠 孙红玲[1] 孙艳 夏金萍[1] 许彩云[1] WANG Hui;SUN Hongling;SUN Yan;XIA Jinping;XU Caiyun

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市310009

出　　处：《中华护理杂志》2024年第12期1443-1446,共4页Chinese Journal of Nursing

基　　金：浙江省医药卫生科技计划项目(2023KY743,2024KY079,2024KY1061)

摘　　要：总结1例腹腔镜下直肠癌扩大根治术+回肠造口术后继发肠外瘘患者的护理经验。护理要点:多学科联合制订全身性诊疗护理方案;合理应用瘘口隔绝技术;实施手术切口分区域护理,促进感染控制和组织生长。经过精心的治疗和护理,术后第38天肠瘘闭合,第52天切口完全愈合,患者康复出院。To summarize the nursing experience of a patient with intestinal fistula after laparoscopic extended radical resection of rectal cancer plus ileostomy.Nursing points include:multi-disciplinary joint formulation of systemic treatment and nursing plan;using fistula isolation technology to isolate and drain digestive fluid;implementing incision segmentation management to promote infection control and tissue growth.After careful treatment and nursing care,the intestinal fistula was closed after 38 days of surgery,and the wound healed after 52 days of surgery.

关 键 词：直肠肿瘤 肠瘘 瘘口隔绝技术 护理 

分 类 号：R473.73[医药卫生—护理学]