1例直肠癌患者术后继发腹壁多处坏死性软组织感染的护理

doi:10.3761/j.issn.0254-1769.2022.18.011

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (18): 2247-2251.DOI: 10.3761/j.issn.0254-1769.2022.18.011

1例直肠癌患者术后继发腹壁多处坏死性软组织感染的护理

许彩云(), 孙红玲, 夏金萍, 姚梅琪, 赵锐祎(), 孙艳

310009 杭州市浙江大学医学院附属第二医院护理部

收稿日期:2021-09-27 出版日期:2022-09-20 发布日期:2022-09-07
通讯作者: 赵锐祎,E-mail： 2192028@zju.edu.cn
作者简介:许彩云,女,本科（硕士在读）,主管护师,国际造口治疗师,E-mail： xcy20006129@zju.edu.cn

Nursing care of a rectal cancer patient with secondary to multiple necrotizing soft tissue infection in abdominal wall

XU Caiyun(), SUN Hongling, XIA Jinping, YAO Meiqi, ZHAO Ruiyi(), SUN Yan

Received:2021-09-27 Online:2022-09-20 Published:2022-09-07

摘要/Abstract

摘要：

总结1例直肠癌患者术后继发腹壁多处坏死性软组织感染的护理经验。护理要点：感染性休克的早期识别和有效控制;坏死性软组织感染的识别及护理,控制全身性感染再次发生;分阶段落实个体化镇痛,改善疼痛症状;分阶段动态落实营养支持方案;实施全程心理干预。经过122 d的精心护理,8处伤口全部愈合,患者恢复良好。

关键词: 直肠癌, 坏死性软组织感染, 负压引流, 冲洗, 护理

Abstract:

To summarize the nursing experience of a rectal cancer patient with secondary to multiple necrotizing soft tissue infection of abdominal wall. Nursing points include the close monitoring of the changes of the condition,the early identification and effective control of the septic shock and necrotizing soft tissue infection,and the control of the recurrence of systemic infection through multidisciplinary cooperation;cutting and draining the necrotizing soft tissue infection as early as possible to remove the necrotic tissue;using multiple negative pressure combined with continuous drip irrigation and drainage technology to nurse the wound;implementing the individualized analgesia mode and nutrition support program dynamically by stages;carrying out the whole process psychological intervention. After 122 days of careful nursing care,all 8 wounds healed and the patient recovered well.

Key words: Rectal Cancer, Necrotizing Soft Tissue Infection, Negative Pressure Drainage, Washing, Nurs-ing Care

许彩云, 孙红玲, 夏金萍, 姚梅琪, 赵锐祎, 孙艳. 1例直肠癌患者术后继发腹壁多处坏死性软组织感染的护理[J]. 中华护理杂志, 2022, 57(18): 2247-2251.

XU Caiyun, SUN Hongling, XIA Jinping, YAO Meiqi, ZHAO Ruiyi, SUN Yan. Nursing care of a rectal cancer patient with secondary to multiple necrotizing soft tissue infection in abdominal wall[J]. Chinese Journal of Nursing, 2022, 57(18): 2247-2251.

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1例直肠癌患者术后继发腹壁多处坏死性软组织感染的护理

Nursing care of a rectal cancer patient with secondary to multiple necrotizing soft tissue infection in abdominal wall

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