中华护理杂志 ›› 2019, Vol. 54 ›› Issue (4): 520-522.DOI: 10.3761/j.issn.0254-1769.2019.04.008

• 专科实践与研究 • 上一篇    下一篇

感染性胰腺坏死清创引流术后脓腔不灌洗患者的护理

王欣然,张芝颖,张晓雪,张宇,钟丽霞   

  1. 100053 北京市 首都医科大学急性胰腺炎临床诊疗与研究中心/首都医科大学宣武医院普外科
  • 收稿日期:2018-11-21 出版日期:2019-04-15 发布日期:2019-04-03
  • 作者简介:王欣然:女,本科,主任护师,科护士长,E-mail: xwsicu2011@163.com
  • 基金资助:
    北京市教育委员会2017年首都护理学研究专项(17HL12)

Nursing care of patients with infected pancreatic necrosis without necrotic cavity lavage after debridement and drainage

Xinran WANG,Zhiying ZHANG,Xiaoxue ZHANG,Yu ZHANG,Lixia ZHONG   

  • Received:2018-11-21 Online:2019-04-15 Published:2019-04-03

摘要:

总结了115例感染性胰腺坏死清创引流术后脓腔不灌洗并且行大口径宽通道引流的方法及护理经验。护理要点:①患者卧床期间应用低负压持续吸引保证引流效果;②通过积极体位改变提升引流效果;③单次小剂量生理盐水冲洗;④掌握大口径宽通道引流管固定技巧;⑤预防切口周围刺激性皮炎的发生。

关键词: 感染性胰腺坏死, 清创术, 引流术, 灌洗疗法, 护理

Abstract:

This paper summarized nursing experience of 115 patients with infected pancreatic necrosis underwent large-caliber wide channel drainage without necrotic cavity lavage after debridement and drainage. Nursing key point was:① Sustained low negative pressure was applied during bed rest to ensure drainage effect. ② Positive changes of body position were performed to improve drainage effect. ③ Single flushing was conducted using small-dose saline.④ Tube fixed technique should be mastered for large-caliber wide channel drainage.⑤ The occurrence of irritant dermatitis around the wound should be prevented.

Key words: Infected Pancreatic Necrosis, Debridement, Drainage, Therapeutic Irrigation, Nursing Care