6例小肠移植术后患儿肠造口的护理

doi:10.3761/j.issn.0254-1769.2024.04.011

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

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

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/Abstract

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

卢露, 卢芳燕, 吉莉, 陶玉侠, 姚彩萍. 6例小肠移植术后患儿肠造口的护理[J]. 中华护理杂志, 2024, 59(4): 461-464.

LU Lu, LU Fangyan, JI Li, TAO Yuxia, YAO Caiping. Nursing care of enterostomy in 6 children after small bowel transplantation[J]. Chinese Journal of Nursing, 2024, 59(4): 461-464.

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6例小肠移植术后患儿肠造口的护理

Nursing care of enterostomy in 6 children after small bowel transplantation

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