一例经皮内窥镜胃空肠造口术后患者并发切口感染及包埋综合征的护理

Nursing experience of a patient who developed incisional infection and embedding syndrome afterpercutaneous endoscopy gastrojejunostomy

目的探讨经皮内窥镜引导下胃空肠造口术（PEGJ）后并发切口感染及包埋综合征的护理要点。方法改进护理方法，利用负压吸引，加强换药，肠内营养的使用等综合治疗和护理。结果患者切口处红肿逐渐消退，治疗第18天管口周围轻微发红，无渗液，无发热，愈合良好，第20天教会家属日常维护带管出院。结论对于PEGJ术后的并发症从分析原因，改变护理方法等进行全面护理，可提高患者的治疗效果。

Objective To explore the nursing essentials of complicated incision infection and embedding syndrome after percutaneous endoscopy gastrojejunostomy（PEGJ）. Methods Comprehensive treatment and care including improved nursing methods, negative pressure suction, the dressing strengthening, and enteral nutrition. Results The swelling of the incision gradually subsided. On the 18th day, there was slight redness around the tube, no exudate, no fever, and the incision healed well. On the 20th day, family members were taught with routine maintenance method of the PEG/J tube, and the patient was discharged from hospital with the tube home for continue treatment. Conclusion Comprehensive nursing methods according to cause analysis can improve the curative effect of complications after PEGJ implantation.