2例特发性胆道穿孔患儿术后行早期序贯性肠内营养的护理

总结2例特发性胆道穿孔患儿术后实施早期序贯性肠内营养的护理经验。护理要点：组建营养管理团队，重视营养风险筛查及营养评估，制订个体化肠外营养方案，启动早期序贯性肠内营养，并加强喂养耐受性评估；实施自体消化液回输；加强胃造瘘的护理；开展家庭肠内营养指导及延续性护理。经过精心治疗和护理，2例的营养状况均明显改善，好转出院。出院后6个月随访，生长发育正常。

Early postoperative sequential enteral nutrition management in 2 children with idiopathic biliary perforation

To summarize the management experience of early postoperative sequential enteral nutrition in 2 children with idiopathic biliary perforation. Key points of nursing included establishing a special nutrition management team，strengthening nutrition screening and evaluation，formulating individualized parenteral nutrition plan，starting the early sequential enteral nutrition support process during the perioperative period，strengthening feeding tolerance assessment. Digestive fluid reinfusion was implemented，and percutaneous endoscopic gastrostomy management was strengthened；regular follow-up and continuous home enteral nutrition nursing were carried out. After careful treatment and nursing care，the nutritional status of the 2 children was significantly improved and they recovered smoothly. The growth and development were normal at the 6-month follow-up after discharge.