Nursing care of a patient with synchronous multiple primary malignant tumor and situs inversus totalis：a case report

doi:10.3761/j.issn.0254-1769.2023.11.012

Abstract

Abstract:

To summarize the nursing experience of a patient with synchronous multiple primary malignant tumors and situs inversus totalis. Key points of nursing：establishing a case nursing group；predicting the surgical risk based on physiology and surgical severity，using individualized multimodal pre-rehabilitation management strategies，doing a good job in risk prevention and control nursing；sorting out the relevant operations on the left and right sides，cultivating the reverse thinking ability of total situs inversus；adequate bowel preparation，reducing gastrointestinal tension；doing a good job in the prevention and nursing of gastrointestinal fistula after surgery；continuing to do a good job in extended nursing after discharge. The patient was discharged 36 days after surgery and followed up for 3 months with good appetite and weight gain.

Key words: Total Situs Inversus, Multiple Primary Malignant Tumors, Nursing Care

摘要：

总结1例多原发性恶性肿瘤伴全内脏转位患者的护理经验。护理要点：成立个案护理小组；基于生理学和手术严重性进行手术风险的预测，制订个体化预康复管理策略，做好风险防控护理；梳理左右侧相关的操作，培养全内脏转位的反向思维能力；充分进行肠道准备，降低消化道张力；术后做好消化道瘘的预防及护理；出院后继续做好延伸护理。患者术后36 d出院，随访3个月，胃纳好，体重有增加。

关键词: 全内脏转位, 多原发性恶性肿瘤, 护理

ZHU Huidi, LI Yan, JIANG Yuehong, LI Beibei, XU Qiaoying, ZHAO Xuehong. Nursing care of a patient with synchronous multiple primary malignant tumor and situs inversus totalis：a case report[J]. Chinese Journal of Nursing, 2023, 58(11): 1357-1360.

朱慧娣, 李燕, 江月红, 李贝贝, 徐巧英, 赵雪红. 1例多原发性恶性肿瘤伴全内脏转位患者的护理[J]. 中华护理杂志, 2023, 58(11): 1357-1360.

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