小肠联合部分结肠直肠移植及肛门吻合术患者的护理  

Nursing care of a patient undergoing small intestine combined with partial colorectal transplantation and anal anastomosis

作　　者：蔡小凤[1] 徐静[1] 赵惠英[1] 吴国生 CAI Xiaofeng;XU Jing;ZHAO Huiying;WU Guosheng

机构地区：[1]浙江大学医学院附属第一医院护理部,杭州市310012

出　　处：《中华急危重症护理杂志》2025年第4期455-458,共4页Chinese Journal of Emergency and Critical Care Nursing

基　　金：浙江省医药卫生科技计划项目(2022KY160);浙大一院护理学科建设科研项目(2023ZYHL01)。

摘　　要：总结1例小肠联合部分结肠直肠移植及肛门吻合术患者的护理体会。针对患者术后排异、营养、血糖、血流动力学、感染和术后随访管理等护理问题,采取实时监测和精准免疫抑制治疗,开展围手术期全程化营养管理,优化血糖监测策略,实施精细化液体管理,制订个性化随访管理方案。经过59 d的积极治疗和精心护理,患者顺利出院,并于移植术后4个月实施造口还纳术,恢复肠道连续性。To summarize the nursing experience of a patient undergoing small intestine combined with partial colorectal transplantation and anal anastomosis.In view of the nursing problems of patients with postoperative rejection,nutrition,blood glucose,hemodynamics,infection and postoperative follow-up management,real-time monitoring and precise immunosuppressive therapy were adopted,perioperative whole-process nutrition management was carried out,blood glucose monitoring strategies were optimized,refined fluid management was implemented,and personalized follow-up management plans were formulated.After 59 days of active treatment and careful nursing,the patient was discharged from the hospital successfully,and the ostomy was restored 4 months after the transplantation to restore intestinal continuity.

关 键 词：小肠移植 联合移植 肛门吻合重建 危重病护理 

分 类 号：R473.6[医药卫生—护理学]