Abstract:

To summarize the nursing experience of a patient with multiple enterostomies after segmental small bowel resection for acute mesenteric vein embolism. Nursing points：early identification of necrosis of retained intestinal tubes and improvement of early warning care；active improvement of tissue perfusion for retained indeterminate necrotic intestinal tubes；relay enteral nutritional support for 4 stomas based on the collaborative care model；implementation of combined dressing changes for surgical incisions and stomas，control of incisional infections and peristoma dermatitis；attention to the psychological aspects of the patients and their families and provision of psychological support. The patient successfully underwent stoma retraction on the 42nd day after surgery，and no obvious short bowel syndrome occurred in the postoperative period.

Key words: Acute Mesenteric Vein Embolism, Stoma, Enteral Nutrition, Nursing Care

摘要：

总结1例急性肠系膜静脉栓塞患者行节段性小肠切除的护理经验。护理要点：早期识别保留肠管的坏死征象，积极改善其组织灌注，防止肠管坏死；基于协同护理模式，对4个肠造口进行接力式的肠内营养支持；手术切口和肠造口联合换药，控制手术切口感染和肠造口周围皮炎；关注患者和家属的心理，提供心理支持。患者术后42 d顺利进行肠造口回纳，术后未出现明显的短肠综合征症状。

关键词: 急性肠系膜静脉栓塞, 造口, 肠内营养, 护理