肝吸虫感染致多脏器肉芽肿性梗阻性病变并发腹腔脓肿患者1例的护理  

Nursing care of a patient with multiple organ granulomatous obstructive lesion complicated with abdominal abscess caused by clonorchiasis

作　　者：汤维萍 余婷婷 周雨 倪红燕 陈倩倩 Tang Weiping;Yu Tingting;Zhou Yu;Ni Hongyan;Chen Qianqian(Department of General Surgery Ward 2,Hospital of the Yangtze River Shipping,Wuhan 430010,China)

机构地区：[1]长江航运总医院普外二病区,武汉430010

出　　处：《中国实用护理杂志》2024年第35期2789-2794,共6页Chinese Journal of Practical Nursing

摘　　要：目的总结1例肝吸虫感染致多脏器肉芽肿性梗阻性病变并发腹腔脓肿患者的护理经验。方法2023年8月长江航运总医院收治了1例肝吸虫感染致多脏器肉芽肿性梗阻性病变并发腹腔脓肿的患者,实施个性化的护理措施,包括营养支持治疗与相关并发症早期风险识别预警护理、脓毒性休克的早期风险识别与护理、预防引流管堵塞的护理、个性化的液体治疗护理。结果患者,女,15岁,第53天胃肠功能、胆系影像学检查恢复正常,血流动力学、营养指标及其他生命体征恢复正常,好转出院,继续院外抗寄生虫感染治疗。结论针对肝吸虫感染致多脏器肉芽肿性梗阻性病变并发腹腔脓肿患者重点难点护理问题,实施个性化及全面的护理措施,能改善患者预后,促进康复。Objective To summarize the nursing experience of a patient with multiple organ granulomatous obstructive disease complicated with abdominal abscess caused by clonorchiasis.Methods A patient with multiple organ granulomatous obstructive lesions and abdominal abscess caused by liver fluke infection was admitted in the Hospital of the Yangtze River Shipping inAugust 2023.Personalized nursing measures were implemented including early risk identification and early warning nursing of nutritional support treatment and related complications;early risk identification and nursing of septic shock;nursing care of preventing drainage tube blockage;personalized liquid therapy nursing.Results The patient,female,was 15 years old.On the 53rd day,the patient′s gastrointestinal function and biliary imaging returned to normal,and his hemodynamics,nutritional indexes and other vital signs returned to normal.She got better and was discharged from hospital,and continued to be treated with anti-parasitic infection outside the hospital.Conclusions In view of the key and difficult nursing problems of patients with multiple organ granulomatous obstructive lesions complicated with abdominal abscess caused by clonorchiasis infection,implementing personalized and comprehensive nursing measures can improve the prognosis of patients and promote rehabilitation.

关 键 词：护理 肝吸虫感染 多脏器肉芽肿性梗阻性病变 腹腔脓肿 

分 类 号：R473.6[医药卫生—护理学]