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

• 个案研究 • 上一篇    下一篇

6例小肠移植术后患儿肠造口的护理

卢露(), 卢芳燕(), 吉莉, 陶玉侠, 姚彩萍   

  1. 310003 杭州市 浙江大学医学院附属第一医院肝移植中心(卢露,吉莉,陶玉侠,姚彩萍),护理部(卢芳燕)
  • 收稿日期:2023-07-02 出版日期:2024-02-20 发布日期:2024-02-22
  • 通讯作者: 卢芳燕,E-mail:2196032@zju.edu.cn
  • 作者简介:卢露:女,本科,副主任护师,E-mail:148243728@qq.com
  • 基金资助:
    浙江省基础公益研究计划(LTGY23H030004)

Nursing care of enterostomy in 6 children after small bowel transplantation

LU Lu(), LU Fangyan(), JI Li, TAO Yuxia, YAO Caiping   

  • Received:2023-07-02 Online:2024-02-20 Published:2024-02-22

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。

关键词: 小肠移植, 肠造口, 儿科护理学

Abstract:

To summarize 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.

Key words: Small Bowel Transplantation, Enterostomy, Pediatric Nursing