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5例同种异体小肠移植术后移植肠造口的护理
引用本文:杨秀芳,彭南海,徐丹丹,叶向红,李幼生,李宁.5例同种异体小肠移植术后移植肠造口的护理[J].中华护理杂志,2010,45(4).
作者姓名:杨秀芳  彭南海  徐丹丹  叶向红  李幼生  李宁
作者单位:南京军区总医院普通外科研究所8区ICU,南京市,210002
摘    要:总结了5例同种异体小肠移植术后移植肠造口的护理经验。注重肠造口局部管理,包括对早期移植肠存活、蠕动、分泌等功能的观察;在进行肠镜病理学观察时做好准备和配合工作;加强肠内营养时肠造口的管理,包括对后期移植肠消化、吸收功能及排斥反应的观察。5例患者全部存活,移植肠造口血运良好,颜色红润,且未发生移植肠造口周围皮肤破溃等并发症,患者逐步恢复经口正常饮食。

关 键 词:组织移植  肠造口术  护理

Nursing care of patients with stoma after small bowel allotransplantation
YANG Xiu-fang,PENG Nan-hai,XU Dan-dan,YE Xiang-hong,LI You-sheng,LI Ning.Nursing care of patients with stoma after small bowel allotransplantation[J].Chinese Journal of Nursing,2010,45(4).
Authors:YANG Xiu-fang  PENG Nan-hai  XU Dan-dan  YE Xiang-hong  LI You-sheng  LI Ning
Abstract:This paper summarizes the experiences of nursing care of five patients with stoma after small bowel allotransplantation. The nursing care focused on observation of the survival,motility,secretion and other functions of early transplanted bowel,preparation and cooperation for colonoscopy,stoma care during enteral nutritional support,observation of the digestion,absorption and rejection of transplanted bowels. The five patients survived after operations. The stoma of transplanted bowels was ruddy and had a good circulation without complications such as rupture of skin around stoma. The patients gradually restored the normal diet by mouth.
Keywords:Tissue Transplantation  Enterostomy  Nursing Care
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