一例腹茧症患者术后并发肠瘘的护理

Nursing of Postoperative Intestinal Fistula in a Patient with Abdominal Cocoon

肠瘘是腹茧症术后严重的并发症,一般发生于术后2~4天,本例患者发生于术后第12天。通过有效引流、肠内外营养方式的调整、机体活动、生长抑素的应用,在护理环节上加强引流液的观察、引流营养护理、创口周围皮肤护理等,并进行功能锻炼,获得了良好的护理效果,使患者肠瘘闭合,术后92天治愈出院。

Intestinal fistula is a serious postoperative complication of abdominal cocoon,which usually occurs 2 to 4 days after the operation.In this case,intestinal fistula occurred on the 12th day after the operation.Through effective drainage,internal and external nutrition adjustment,body activities,somatostatin application,strengthening the observation of drainage fluid,drainage nutrition care,skin care around the wound,carrying out functional exercise,etc.,the good nursing effect was obtained that the patient intestinal fistula closed and the patient was discharged 92 days after the operation.