1例胰体尾癌根治术联合门静脉人工血管移植患者的护理

doi:10.3761/j.issn.0254-1769.2026.16.005

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (16): 2196-2200.DOI: 10.3761/j.issn.0254-1769.2026.16.005

• 消化系统疾病护理专题 • 上一篇下一篇

1例胰体尾癌根治术联合门静脉人工血管移植患者的护理

周露莎(), 卢婕楠^*(), 李俊秀, 倪梦琪, 李庆刚

浙江大学医学院附属第二医院护理部杭州市 310000

收稿日期:2026-04-02 出版日期:2026-08-20 发布日期:2026-08-14
*通讯作者: 卢婕楠，E-mail：2504051@zju.edu.cn
作者简介:周露莎：女，本科，主管护师，E-mail：liqingang@zju.edu.cn
第一联系人：作者贡献声明
周露莎：选定主题、撰写论文；卢婕楠：论文审阅与修改、把控整体论文质量；李俊秀、倪梦琪：资料收集；李庆刚：查阅文献、论文修改
基金资助:
浙江省中医药科技计划项目(2025ZL388)

Nursing care of a patient undergoing radical distal pancreatectomy combined with portal vein prosthetic grafting

ZHOU Lusha(), LU Jienan^*(), LI Junxiu, NI Mengqi, LI Qinggang

Department of Nursing， the Second Affiliated Hospital，Zhejiang University School of Medicine， Hangzhou 310000， China

Received:2026-04-02 Online:2026-08-20 Published:2026-08-14
* Corresponding author: LU Jienan，E-mail：2504051@zju.edu.cn
Funding program:
Zhejiang Provincial Traditional Chinese Medicine Science and Technology Program Project(2025ZL388)

摘要/Abstract

摘要：

总结1例胰体尾癌根治术联合门静脉人工血管移植患者的护理经验。护理要点：采取多维度协同管理，控制门静脉压力，保障人工血管通畅；强化出血风险动态监测，开展早期有效干预，防范术后出血并发症；落实精准血栓防治策略，降低血栓发生风险，改善患者疾病预后；构建多环节感染防控体系，早期识别感染征象，避免人工血管失功；制订延续护理方案，开展居家康复指导，提升患者的远期生活质量。经过17 d的精心治疗和护理，患者康复出院。随访3个月，患者恢复良好。

关键词: 胰腺肿瘤, 门静脉, 血管移植术, 人工血管, 护理

Abstract:

To summarize the nursing experience of a patient undergoing radical distal pancreatectomy combined with portal vein prosthetic grafting. The key nursing points included：adopting multidimensional collaborative management to control portal venous pressure and maintain prosthetic graft patency；strengthening dynamic monitoring of bleeding risk and implementing early and effective interventions to prevent postoperative hemorrhagic complications；implementing a precise thrombosis prevention and treatment strategy to reduce the risk of thrombosis and improve the patient’s prognosis；constructing a multi-dimensional infection prevention and control system，identifying early signs of infection，and minimizing the risk of prosthetic graft dysfunction；formulating a continuous care plan，providing home-based rehabilitation guidance，and enhancing the patient’s long-term quality of life. After 17 days of intensive treatment and nursing care，the patient recovered and was discharged. During the 3-month follow-up，the patient remained in good condition.

Key words: Pancreatic Neoplasms, Portal Vein, Vascular Grafting, Prosthetic Vascular Graft, Nursing Care

周露莎, 卢婕楠, 李俊秀, 倪梦琪, 李庆刚. 1例胰体尾癌根治术联合门静脉人工血管移植患者的护理[J]. 中华护理杂志, 2026, 61(16): 2196-2200.

ZHOU Lusha, LU Jienan, LI Junxiu, NI Mengqi, LI Qinggang. Nursing care of a patient undergoing radical distal pancreatectomy combined with portal vein prosthetic grafting[J]. Chinese Journal of Nursing, 2026, 61(16): 2196-2200.

参考文献 14

[1]	袁静雅, 修典荣. 胰腺体尾部导管腺癌生存预后的影响因素分析[J]. 中国微创外科杂志, 2023, 23(3):161-166.
	Yuan JY, Xiu DR. Analysis of prognostic factors in patients with pancreatic ductal adenocarcinoma of the body and tail[J]. Chin J Min Inv Surg, 2023, 23(3):161-166.
[2]	王媛, 徐雪华, 陈智颖, 等. 胰腺癌患者胰体尾联合血管切除重建手术治疗的有效性及对患者QOL评分的影响[J]. 实用癌症杂志, 2022, 37(2):273-275.
	Wang Y, Xu XH, Chen ZY, et al. Efficacy of pancreatic body tail combined with vascular resection and reconstruction in patients with pancreatic cancer and its impact on QOL score[J]. Pract J Cancer, 2022, 37(2):273-275.
[3]	刘成浩, 王行雁, 张利, 等. 胰腺癌血管侵犯处理[J]. 国际外科学杂志, 2024, 51(6):361-365.
	Liu CH, Wang HY, Zhang L, et al. Management of vascular invasion in pancreatic cancer[J]. Int J Surg, 2024, 51(6):361-365.
[4]	毛益申, 傅德良. 胰头癌围手术期治疗策略的探讨[J]. 腹部外科, 2021, 34(5):340-346. DOI
	Mao YS, Fu DL. Strategy of perioperative therapeutics for pancreatic head carcinoma[J]. J Abdom Surg, 2021, 34(5):340-346. DOI
[5]	Yamamoto Y, Sugiura T, Higuchi R, et al. Prognostic impact of pancreatic body/tail cancer involving the portal vein:a project study of the Japanese Society of Hepato-Biliary-Pancreatic Surgery[J]. J Hepatobiliary Pancreat Sci, 2025, 32(9):656-666. DOI PMID
[6]	Gadani S, Partovi S, Levitin A, et al. Narrative review of portal vein thrombosis in cirrhosis:pathophysiology,diagnosis,and management from an interventional radiology perspective[J]. Cardiovasc Diagn Ther, 2022, 12(1):135-146. DOI URL
[7]	中国医师协会外科医师分会腹膜后肿瘤专家工作组, 张勇, 童汉兴. 腹膜后肿瘤累及重要血管处置中国专家共识(2025版)[J]. 中国实用外科杂志, 2025, 45(5):485-497.
	Expert Working Group of Retroperitoneal Tumors of Chinese College of Surgeons of Chinese Medical Doctor Association, Zhang Y, Tong HX. Chinese expert consensus on the treatment of retroperitoneal tumors involving important blood vessels(2025 edition)[J]. Chin J Pract Surg, 2025, 45(5):485-497.
[8]	倪秀梅, 胡少华, 韩江英, 等. 护士主导的床旁超声在ICU肠内营养患者腹胀管理中的应用[J]. 中华护理杂志, 2024, 59(17):2123-2129. DOI
	Ni XM, Hu SH, Han JY, et al. The application of nurse-performed point-of-care ultrasound in the management of abdominal distension in patients with enteral nutrition in ICU[J]. Chin J Nurs, 2024, 59(17):2123-2129. DOI
[9]	Preston WA, Collins ML, Gnen M, et al. Hemorrhage sites and mitigation strategies after pancreaticoduodenectomy[J]. JAMA Surg, 2024, 159(8):891-899. DOI PMID
[10]	Clancy TE, Baker EH, Maegawa FA, et al. AHPBA guidelines for managing VTE prophylaxis and anticoagulation for pancreatic surgery[J]. HPB, 2022, 24(5):575-585. DOI URL
[11]	中华护理学会外科护理专业委员会, 中华医学会外科学分会护理学组. 普通外科患者静脉血栓栓塞症风险评估与预防护理专家共识[J]. 中华护理杂志, 2022, 57(4):444-449. DOI
	The Surgical Nursing Committee of Chinese Nursing Association, the Nursing Group of Chinese Society of Surgery of Chinese Medical Association. Expert consensus on risk assessment and prevention of venous thromboembolism in general surgical patients[J]. Chin J Nurs, 2022, 57(4):444-449. DOI
[12]	李婷, 汪建林, 周苗, 等. 胰腺癌术后发生静脉血栓栓塞症伴腹腔感染的危险因素分析[J]. 中华肝胆外科杂志, 2025, 31(2):116-120.
	Li T, Wang JL, Zhou M, et al. Analysis of risk factors associated with the development of venous thromboembolism with abdominal infection after pancreatic cancer surgery[J]. Chin J Hepatobiliary Surg, 2025, 31(2):116-120.
[13]	浙江省护理学会呼吸护理专业委员会. 肺移植患者术后肺康复护理专家共识[J]. 中华护理杂志, 2024, 59(1):10-15. DOI
	Respiratory Nursing Committee of Zhejiang Nursing Association. Expert consensus on postoperative pulmonary rehabilitation nursing for lung transplant patients[J]. Chin J Nurs, 2024, 59(1):10-15. DOI
[14]	中国医疗保健国际交流促进会肝脏移植学分会, 中国医师协会器官移植医师分会, 中国研究型医院学会普通外科学专业委员会. 同种异体血管移植在腹部外科中的应用指南[J]. 中华移植杂志(电子版), 2025, 19(4):218-225.
	Society of Liver Transplantation of China International Exchange and Promotion Association for Medical and Health Care, Branch of Organ Transplant Physicians of Chinese Medical Doctor Association, General Surgery Professional Committee of Chinese Research Hospital Association. Guidelines on application of allogeneic vascular transplantation in abdominal surgery[J]. Chin J Transplant(Electron Ed), 2025, 19(4):218-225.

[1]	中华护理学会静脉输液治疗专业委员会, 北京护理学会, （执笔：李佳, 李旭英, 覃惠英, 陈利芬, 吴珍明, 胡泽吟, 罗梦娜, 范育英, 吴嘉慧, 林宇萍, 王蕾, 孙文彦, 冯毕龙, 高伟, 李亚南, 侯罗娅, 李春燕. 中心静脉通路装置拔除护理专家共识[J]. 中华护理杂志, 2026, 61(9): 1157-1162.
[2]	周霞, 马艳艳, 师正坤, 于海霞, 周艳, 胡红玲, 李莜, 陈思思, 张京慧. 隧道式经股静脉PICC置入术在困难静脉通路婴幼儿中的应用研究[J]. 中华护理杂志, 2026, 61(9): 1163-1170.
[3]	黄萍, 李黎, 郭骊莉, 徐莹, 叶赟, 江淑芳. 与无针输液接头相关的导管相关性血流感染风险评估工具的构建与初步应用[J]. 中华护理杂志, 2026, 61(9): 1171-1179.
[4]	李佳, 张玉玲, 邢乐, 张利峰, 牛秀峰, 许莉. 早产儿经上肢置入PICC尖端继发性异位风险预测模型的建立与验证[J]. 中华护理杂志, 2026, 61(9): 1180-1186.
[5]	何娟, 赵蕾蕾, 叶冠军, 余艳芬, 傅晓君, 周琴. 1例双侧无名静脉及上腔静脉人工血管置换术后患者经上肢置入PICC的护理[J]. 中华护理杂志, 2026, 61(9): 1187-1191.
[6]	梁江淑渊, 曾妃, 何鹏, 谢梦珊, 江悦, 蒋宗恒, 王建茗. 静脉-静脉体外膜肺氧合患者早期活动风险等级评估系统的构建及应用研究[J]. 中华护理杂志, 2026, 61(9): 1192-1199.
[7]	陈晨, 顾肖, 郭凡, 王敏, 倪兴梅, 黄琴, 程念开. 3种衰弱评估工具对急诊老年创伤患者不良结局的预测价值[J]. 中华护理杂志, 2026, 61(9): 1200-1207.
[8]	郑煜琳, 刘晋宁, 张静, 郭会敏, 谷艳梅, 张莉莉. 酒精性肝病患者肝移植术后再饮酒现状及其影响因素分析[J]. 中华护理杂志, 2026, 61(9): 1208-1214.
[9]	叶俊霜, 沈丽佳, 孟霞靓, 张玉姣, 蔡根莲, 邵碧云, 周亚辉, 张柳倩, 应金萍. 维持性血液透析患者对口腔衰弱认知和体验的质性研究[J]. 中华护理杂志, 2026, 61(9): 1215-1220.
[10]	王芸姣, 杨玉金, 郑春艳, 彭菲津, 王淑贞, 蒋喜露, 周为民, 王薇, 张娜. 糖尿病下肢动脉硬化闭塞症患者介入术后康复护理方案的构建及应用研究[J]. 中华护理杂志, 2026, 61(9): 1221-1229.
[11]	杨明霞, 安冉, 臧金凤, 李春梅. 老年慢性病共病患者及照护者老老照护能力与自我忽视的相关性分析[J]. 中华护理杂志, 2026, 61(9): 1230-1236.
[12]	梁和静, 许鹊, 史云霞, 祖金美, 黄文静, 杨春旭, 郭明华, 王磊. 颈动脉内膜剥脱术围手术期护理质量评价指标的构建[J]. 中华护理杂志, 2026, 61(9): 1237-1244.
[13]	韩媛媛, 石玉竹, 尚文涵, 么莉. 870所三级甲等医院老年住院患者跌倒伤害发生现状与影响因素分析[J]. 中华护理杂志, 2026, 61(9): 1245-1252.
[14]	夏云芳, 王洪, 崔岱, 付真真, 朱敏. 1例弥漫性毒性甲状腺肿合并超敏反应综合征青少年患者的护理[J]. 中华护理杂志, 2026, 61(9): 1253-1256.
[15]	周益飞, 王海苹, 胡益环, 应莉, 罗松娜. 1例氢氟酸中毒并发呼吸心搏骤停患者的急救护理[J]. 中华护理杂志, 2026, 61(9): 1257-1260.

1例胰体尾癌根治术联合门静脉人工血管移植患者的护理

Nursing care of a patient undergoing radical distal pancreatectomy combined with portal vein prosthetic grafting

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 14

相关文章 15

编辑推荐

Metrics