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留置空肠造瘘管并发肠外瘘患者的护理
引用本文:朱亚丽,黄蔚萍,孙岚,郑玉文. 留置空肠造瘘管并发肠外瘘患者的护理[J]. 中华护理杂志, 2012, 47(3): 251-253
作者姓名:朱亚丽  黄蔚萍  孙岚  郑玉文
作者单位:1. 201800,上海市 上海交通大学医学院附属仁济医院嘉定分院(嘉定区中心医院)ICU
2. 201800,上海市 上海交通大学医学院附属仁济医院嘉定分院护理部
摘    要:
报告了1例晚期食管破裂留置空肠造瘘管并发肠外瘘患者的护理过程.根据患者肠外瘘特点,采用暴露瘘口周围皮肤,局部辅以药物及物理疗法,造瘘口近端置入双腔气囊导尿管引流消化液并回输,使用床上支架等综合护理干预措施,既保护了瘘口周围皮肤,又促进了营养液吸收,最终行手术治疗肠瘘并获得成功.

关 键 词:肠瘘  食管穿孔  插管法,胃肠  护理

Nursing care of a patient indwelling jejunal fistula complicated with enterocutaneou fistula
ZHU Ya-li , HUANG Wei-ping , SUN Lan , ZHENG Yu-wen. Nursing care of a patient indwelling jejunal fistula complicated with enterocutaneou fistula[J]. Chinese Journal of Nursing, 2012, 47(3): 251-253
Authors:ZHU Ya-li    HUANG Wei-ping    SUN Lan    ZHENG Yu-wen
Affiliation:ZHU Ya-li,HUANG Wei-ping,SUN Lan,ZHENG Yu-wen
Abstract:
This paper reports the nursing care of a patient suffering esophageal rupture and indwelling jejunal fistula complicated with enterocutaneou fistula.On the condition of the patient,several nursing measures were adopted,such as exposing skin around the fistula,applying drugs and physical therapy,indwelling the double lumen catheter through proximal stoma for drainage and transfusion of digestive juice,using a frame on the bed to protect the skin,and other nursing measures.As a result,the peristomal skin was cured,and the nutrient absorption was accomplished,and the patient received an earlier operation for the intestinal fistula successfully.
Keywords:Intestinal Fistula  Esophageal Perforation  Intubation,Gastrointestinal  Nursing Care
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