中华急危重症护理杂志2024,Vol.5Issue(2) :128-130.DOI:10.3761/j.issn.2096-7446.2024.02.006

严重多发伤致肠空气瘘患者行分段式营养治疗的护理

Nursing care of a patient with severe polytraumatic entero-atmospheric fistula undergoing segmented nutrition therapy

殷伟 乔丽 刘宝晨 吴翠丽 叶向红 章黎
中华急危重症护理杂志2024,Vol.5Issue(2) :128-130.DOI:10.3761/j.issn.2096-7446.2024.02.006

严重多发伤致肠空气瘘患者行分段式营养治疗的护理

Nursing care of a patient with severe polytraumatic entero-atmospheric fistula undergoing segmented nutrition therapy

殷伟 1乔丽 1刘宝晨 1吴翠丽 1叶向红 1章黎1
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作者信息

  • 1. 210000 南京市 东部战区总医院普通外科
  • 折叠

摘要

总结1例严重多发伤肠空气瘘患者分段式营养治疗的护理体会.针对肠空气瘘局部创面大,消化系统连续性遭到破坏,营养支持难度高,采取腹腔开放处瘘口肠管保护及负压辅助关腹技术的护理,结合分段式肠内营养治疗和肠液回输护理.患者瘘口肠液引流顺利,后期腹壁缺损处愈合良好,肠内营养支持达到目标量,住院60 d后患者康复出院.

Abstract

To summarize the nursing experience of segmented nutrition therapy in a patient with severe polytrauma and entero-atmospheric fistula.In view of the difficulty of wound care around entero-atmospheric fistula,the disruption of the continuity of the digestive system,and the difficulty of nutritional support,the fistula and intestinal tube protection at the open abdomen with vacuum-assisted closure technology was adopted,combined with segmented enteral nutrition therapy and nursing of intestinal fluid reinfusion treatment.The intestinal fluid from the fistula was drained smoothly,and abdominal wall defect healed well in the later period,the enteral nutrition support reached the target amount.After 60-day hospitalization,the patient finally recovered and was discharged.

关键词

肠空气瘘/腹腔开放技术/营养支持/肠液回输/危重病护理

Key words

Entero-atmospheric Fistula/Open Abdominal Techniques/Nutritional Support/Intestinal Fluid Reinfusion/Critical Care Nursing

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出版年

2024
中华急危重症护理杂志

中华急危重症护理杂志

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