Abstract:

To summarize the nursing experience of a patient with intestinal fistula after laparoscopic extended radical resection of rectal cancer plus ileostomy. Nursing points include：multi-disciplinary joint formulation of systemic treatment and nursing plan； using fistula isolation technology to isolate and drain digestive fluid； implementing incision segmentation management to promote infection control and tissue growth. After careful treatment and nursing care，the intestinal fistula was closed after 38 days of surgery，and the wound healed after 52 days of surgery.

Key words: Rectal Neoplasms, Intestinal Fistula, Techniques for Fistula Isolation, Nursing Care

摘要：

总结1例腹腔镜下直肠癌扩大根治术+回肠造口术后继发肠外瘘患者的护理经验。护理要点：多学科联合制订全身性诊疗护理方案；合理应用瘘口隔绝技术；实施手术切口分区域护理，促进感染控制和组织生长。经过精心的治疗和护理，术后第38天肠瘘闭合，第52天切口完全愈合，患者康复出院。

关键词: 直肠肿瘤, 肠瘘, 瘘口隔绝技术, 护理