中华护理杂志2024,Vol.59Issue(4) :461-464.DOI:10.3761/j.issn.0254-1769.2024.04.011

6例小肠移植术后患儿肠造口的护理

Nursing care of enterostomy in 6 children after small bowel transplantation

卢露 卢芳燕 吉莉 陶玉侠 姚彩萍
中华护理杂志2024,Vol.59Issue(4) :461-464.DOI:10.3761/j.issn.0254-1769.2024.04.011

6例小肠移植术后患儿肠造口的护理

Nursing care of enterostomy in 6 children after small bowel transplantation

卢露 1卢芳燕 2吉莉 1陶玉侠 1姚彩萍1
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作者信息

  • 1. 310003 杭州市 浙江大学医学院附属第一医院肝移植中心
  • 2. 310003 杭州市 浙江大学医学院附属第一医院护理部
  • 折叠

摘要

总结6例小肠移植术后患儿肠造口的护理要点,为临床护理提供借鉴.护理要点:成立多学科团队,制订肠造口观察方案;密切观察肠造口血液循环情况,尽早识别血管并发症;严密监测肠造口排泄物情况,警惕急性排斥反应;根据肠造口情况,合理选择护理用品;及时处理腹部切口渗液,保护肠造口周围皮肤,控制感染;重视延续性护理,提高居家照护质量.经过积极治疗和护理,6例患儿移植肠均存活,术后3~4个月肠造口均回纳后出院.随访2~4个月,6例患儿均恢复良好.

Abstract

To summanze the nursing points of enterostomy among 6 children with small intestinal transplantation,which could provide references for clinical nursing.Key points:to set up a multidisciplinary team and develop an observation plan about enterostomy;to monitor the blood circulation of enterostomy closely,so as to identify the vascular complications as soon as possible;to closely observe the excrement of enterostomy and being vigilant for rejection reaction;to select reasonable nursing supplies based on the situation of enterostomy;to treat the abdominal incision fluid leakage timely,and pay attention to protect the skin around the enterostomy and take measures to control infection;furthermore,to attach great importance to continuous nursing care and improve the quality of home care.After above careful treatment,all the 6 children survived;they were discharged from hospital 3~4 months later after the operation of enterostomy restoration.Followed up 2~4 months,6 children recovered well.

关键词

小肠移植/肠造口/儿科护理学

Key words

Small Bowel Transplantation/Enterostomy/Pediatric Nursing

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基金项目

浙江省基础公益研究计划(LTGY23H030004)

出版年

2024
中华护理杂志
中华护理学会

中华护理杂志

CSTPCD北大核心
影响因子:5.365
ISSN:0254-1769
参考文献量12
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