1例胰腺癌行全胰切除联合自体胰岛移植患者的护理

doi:10.3761/j.issn.0254-1769.2025.07.018

中华护理杂志 ›› 2025, Vol. 60 ›› Issue (7): 880-883.DOI: 10.3761/j.issn.0254-1769.2025.07.018

1例胰腺癌行全胰切除联合自体胰岛移植患者的护理

胡晨璐(), 裴香茹, 王芳, 俞倩, 应玉莲

310009 杭州市浙江大学医学院附属第二医院护理部

收稿日期:2024-07-08 出版日期:2025-04-10 发布日期:2025-04-07
作者简介:胡晨璐：女，硕士，副主任护师，护士长，E-mail：2505127@zju.edu.cn
基金资助:
浙江省医药卫生科技计划一般项目(2024KY1077)

Perioperative care of a patient undergoing total pancreatectomy with autogenous islet cell autotransplan-tation for pancreatic cancer

HU Chenlu(), PEI Xiangru, WANG Fang, YU Qian, YING Yulian

Received:2024-07-08 Online:2025-04-10 Published:2025-04-07

摘要/Abstract

摘要：

总结1例胰腺癌患者行全胰切除联合自体胰岛细胞移植的护理经验。护理要点：实施目标导向管理胰腺内分泌功能，警惕“脆性糖尿病”发生；医护联合动态调整胰酶制剂剂量，改善胰腺外分泌功能；开展全程营养风险评估，实施个性化营养支持策略；早期识别胃轻瘫综合征并规范管理，改善患者的胃动力水平。经过精心治疗和护理，患者胰岛功能稳定，胰腺内、外分泌功能恢复良好，术后15 d患者顺利出院，随访2个月，患者病情稳定，无严重血糖紊乱及其他严重并发症发生。

关键词: 胰腺癌, 自体胰岛移植, 胰岛功能, 胃轻瘫综合征, 护理

Abstract:

To summarize the nursing experience of a patient with pancreatic cancer who underwent total pancreatectomy combined with islet cell transplantation. Nursing points：goal-oriented management of endocrine function，being alert to the occurrence of “brittle diabetes”；the dose of pancreatic enzymes was dynamically adjusted by doctors and nurses to improve exocrine insufficiency；the whole-process nutritional risk assessment and individualized nutritional support strategies were implemented. Early identification and standardized management of gastroparesis syndrome can improve gastric motility of patients. After careful treatment and nursing care，the patient’s islet function was stable，and the endocrine and exocrine functions of the pancreas recovered well. The patient was discharged 15 days after the operation. During the follow-up of 2 months，the patient’s condition was stable，and no serious blood glucose disorder and other serious complications occurred.

Key words: Pancreatic Cancer, Autologous Islet Transplantation, Islet Function, Gastroparesis Syndrome, Nursing Care

胡晨璐, 裴香茹, 王芳, 俞倩, 应玉莲. 1例胰腺癌行全胰切除联合自体胰岛移植患者的护理[J]. 中华护理杂志, 2025, 60(7): 880-883.

HU Chenlu, PEI Xiangru, WANG Fang, YU Qian, YING Yulian. Perioperative care of a patient undergoing total pancreatectomy with autogenous islet cell autotransplan-tation for pancreatic cancer[J]. Chinese Journal of Nursing, 2025, 60(7): 880-883.

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1例胰腺癌行全胰切除联合自体胰岛移植患者的护理

Perioperative care of a patient undergoing total pancreatectomy with autogenous islet cell autotransplan-tation for pancreatic cancer

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