1例肠重复畸形伴反复消化道出血及腹茧症患者的护理

Nursing care of enteric duplication cysts with recurrent gastrointestinal bleeding and abdominal cocoon:a case report

总结1例成人肠重复畸形伴反复消化道出血及腹茧症患者的护理经验。护理要点:术前做好隐匿性低血容量性休克的预警护理;双气囊小肠镜检查肠道准备期间的风险防范;动态观察腹痛性质,谨防诱发肠扭转;术后落实以目标为导向早期炎性肠梗阻的护理干预策略。患者术后25 d顺利出院,随访3个月恢复良好,体重增加。

To summarize the nursing experience of an adult case of enteric duplication cysts with recurrent gastrointestinal bleeding and abdominal cocoon.Key points of nursing include early-warning care for occult hypovolemic shock before surgery;risk prevention and management during intestinal preparation for double-balloon enteroscopy;dynamic observation of the syndrome of abdominal pain and watching out of volvulus.Postoperative bundle management of early inflammatory bowel obstruction guided by goal-oriented selection was implemented.After discharge,the patient was included in the special case database,and the extended care and follow-up work will be done.The patient was discharged 25 days after the operation and recovered well and gained weight during the 3-month follow-up.