胰腺癌患者行全胃全胰切除联合自体小肠移植的术后护理

doi:10.3761/j.issn.2096-7446.2026.05.012

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (5): 588-590.doi: 10.3761/j.issn.2096-7446.2026.05.012

胰腺癌患者行全胃全胰切除联合自体小肠移植的术后护理

王思思(), 卞丽芳^*(), 李琰

浙江大学医学院附属第一医院肝胆脾胰外科杭州市 310009

收稿日期:2025-05-23 出版日期:2026-05-10 发布日期:2026-04-28
通讯作者: *卞丽芳，E-mail：22854282@qq.com
作者简介:王思思：女，本科，主管护师，E-mail：595341810@qq.com
第一联系人：作者贡献声明
王思思：论文撰写；卞丽芳、李琰：论文指导、修改
基金资助:
浙江大学医学院附属第一医院护理科研项目(2024ZYHL12)

Postoperative nursing care of a patient with pancreatic cancer undergoing total gastrectomy and pancreatectomy combined with autologous small bowel transplantation

WANG Sisi(), BIAN Lifang^*(), LI Yan

Department of Hepatobiliary， Spleen，Pancreas and Surgery，the First Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310009， China

Received:2025-05-23 Online:2026-05-10 Published:2026-04-28
Contact: *BIAN Lifang，E-mail：22854282@qq.com
Supported by:
Nursing Research Project of the First Affiliated Hospital of Zhejiang University School of Medicine(2024ZYHL12)

摘要/Abstract

摘要：

总结1例胰腺癌患者行全胃全胰切除联合自体小肠移植的术后护理体会。针对患者术后感染、血栓、吻合口瘘、营养不良等问题，实施以下护理措施：建立多学科协助管理团队，早期发现并及时控制感染；动态抗凝管理，预防出血与血栓形成；实施预见性护理，警惕消化道吻合口并发症发生；动态管理血糖，警惕低血糖发生；开展全程营养支持，强化多模式腹泻管理。经过25 d的积极治疗及精心护理，患者病情稳定出院。术后随访3个月，患者体重增加2 kg。

关键词: 胰腺肿瘤, 小肠, 移植, 自体, 手术后护理

Abstract:

To summarize the postoperative nursing experience of a pancreatic cancer patient undergoing total gastrectomy and pancreatectomy combined with autologous small bowel transplantation. To address postoperative complications including infections，thrombosis，anastomotic leakage，and nutritional issues，a multidisciplinary collaborative management team was established. The team implemented early infection detection and control，dynamic anticoagulation management to prevent bleeding and thrombosis，proactive nursing care for gastrointestinal anastomosis complications，real-time blood glucose monitoring for hypoglycemia prevention，whole process nutritional support，and enhanced multimodal diarrhea management. After 25 days of intensive treatment and meticulous nursing care，the patient achieved stable condition and was discharged. Three months of follow-up showed the patient gained 2 kg in body weight.

Key words: Pancreatic Neoplasms, Small Intestine, Transplantation, Autologous, Postoperative Nursing

王思思, 卞丽芳, 李琰. 胰腺癌患者行全胃全胰切除联合自体小肠移植的术后护理[J]. 中华急危重症护理杂志, 2026, 7(5): 588-590.

WANG Sisi, BIAN Lifang, LI Yan. Postoperative nursing care of a patient with pancreatic cancer undergoing total gastrectomy and pancreatectomy combined with autologous small bowel transplantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 588-590.

参考文献 7

[1]	Siegel RL, Miller KD, Wagle NS, et al. Cancer statistics,2023[J]. CA A Cancer J Clinicians, 2023, 73(1):17-48.
[2]	Reames BN, Blair AB, Krell RW, et al. Management of locally advanced pancreatic cancer:results of an international survey of current practice[J]. Ann Surg, 2021, 273(6):1173-1181. doi: 10.1097/SLA.0000000000003568
[3]	柳晶晶, 黄飞燕, 汪彩娜, 等. 14例亲缘性活体小肠移植患者术后早期并发症的护理[J]. 中华护理杂志, 2021, 56(9):1383-1386. doi: 10.3761/j.issn.0254-1769.2021.09.018
	Liu JJ, Huang FY, Wang CN, et al. Nursing care of early com-plications in 14 cases after parental living intestine trans-plantation[J]. Chin J Nurs, 2021, 56(9):1383-1386.
[4]	孙益红, 方勇. 胃癌根治术后吻合口相关并发症的发生原因及防治要点[J]. 中华胃肠外科杂志, 2017, 20(2):144-147.
	Sun YH, Fang Y. Causes and prevention of anastomotic com-plications after radical gastrectomy for gastric cancer[J]. Chin J Gastrointest Surg, 2017, 20(2):144-147.
[5]	McCall AL, Lieb DC, Gianchandani R, et al. Management of individuals with diabetes at high risk for hypoglycemia:an endocrine society clinical practice guideline[J]. J Clin Endocri-nol Metab, 2023, 108(3):529-562.
[6]	Declercq P, Van der Aa F, De Pourcq L, et al. Impact of an oral nutrition protocol in patients treated with elective radical cystectomy:a long term follow-up[J]. Int J Clin Pharm, 2019, 41(2):408-413. doi: 10.1007/s11096-019-00800-y
[7]	中华医学会外科学分会胰腺外科学组, 中国研究型医院学会胰腺疾病专业委员会. 胰腺术后外分泌功能不全诊治的中国专家共识(2018)[J]. 中华外科杂志, 2018, 56(9):641-645.
	The Pancreatic Surgery Group of the Surgery Society of Chinese Medical Association, the Pancreatic Disease Professional Commit-tee of Chinese Research Hospital Association. Chinese expert consensus on the diagnosis and treatment of exocrine panc-reatic insufficiency after pancreatic surgery(2018)[J]. Chin J Surg, 2018, 56(9):641-645.

[1]	万珊珊, 陈理华, 诸纪华. 新生儿坏死性小肠结肠炎肠造口术后高流量肠瘘预防及护理的最佳证据总结[J]. 中华急危重症护理杂志, 2026, 7(5): 554-560.
[2]	邵冬玲, 王群敏. 抗凝血酶Ⅲ缺乏症患者行活体小肠移植术后反复出血的护理[J]. 中华急危重症护理杂志, 2026, 7(4): 453-455.
[3]	汤文秀, 应燕, 诸纪华, 葛红玲, 周微微. 肝脑型线粒体DNA耗竭综合征患儿行肝移植的围手术期护理[J]. 中华急危重症护理杂志, 2026, 7(4): 459-461.
[4]	徐雅玲, 袁静, 张玉姣, 王微娜, 应金萍. 老年肺移植并发横纹肌溶解患者行连续性肾脏替代治疗的护理[J]. 中华急危重症护理杂志, 2026, 7(3): 322-324.
[5]	孙慧慧, 丁锦平, 张瑜新, 郝小晨, 张丙良. 酒精性肝病患者肝移植术后酒瘾复发预防及管理的最佳证据总结[J]. 中华急危重症护理杂志, 2026, 7(3): 350-357.
[6]	孙婷婷, 谷茜, 吴璟奕, 王晓丽, 王枫. 经体外膜肺氧合救治肝移植术后混合性休克患者的护理[J]. 中华急危重症护理杂志, 2026, 7(2): 193-196.
[7]	卢芳燕, 吉莉, 董丽, 吴静韵, 杨云, 汤洒潇, 王华芬. 胰腺癌根治术联合自体小肠移植患者出院后随访清单的构建及应用研究[J]. 中华急危重症护理杂志, 2026, 7(1): 9-15.
[8]	王芳, 吴静韵, 卢芳燕, 王燕. 肝移植术后患儿家长疫苗犹豫及疫苗接种知识行为的现状调查[J]. 中华急危重症护理杂志, 2026, 7(1): 42-48.
[9]	李力, 王晓安, 吴轲, 张志泉, 吴丽芬. 肠系膜巨大淋巴管瘤致短肠综合征患儿行小肠移植的术后护理[J]. 中华急危重症护理杂志, 2025, 6(9): 1103-1105.
[10]	谢仕龙, 卢芳燕. Ⅰ型瓜氨酸血症患儿肝移植术后并发乳糜漏的护理[J]. 中华急危重症护理杂志, 2025, 6(7): 850-852.
[11]	唐晶, 昝涛, 关宝兴, 徐艺纯, 初喆. 抗黑色素瘤分化相关基因5抗体阳性皮肌炎患者行肺移植的术后护理[J]. 中华急危重症护理杂志, 2025, 6(7): 856-858.
[12]	卢露, 卢芳燕, 朱莉. 肺移植术后并发急性肢体缺血患者的护理[J]. 中华急危重症护理杂志, 2025, 6(6): 697-699.
[13]	沈丹军, 盛美君, 郑虹, 叶飞亚, 冯佳艳. 胆道闭锁合并肺部感染患儿行血型不相容肝移植的护理[J]. 中华急危重症护理杂志, 2025, 6(6): 710-712.
[14]	杨蕊, 李冰玉, 李鹭. 肾移植相关血栓性微血管疾病患者的护理[J]. 中华急危重症护理杂志, 2025, 6(5): 576-578.
[15]	申晓敏, 贺文静, 杨同男, 王丹丹, 赵文静. Ⅱ型Abernethy畸形合并肺动脉高压患者行肝移植的术后护理[J]. 中华急危重症护理杂志, 2025, 6(5): 579-581.

胰腺癌患者行全胃全胰切除联合自体小肠移植的术后护理

Postoperative nursing care of a patient with pancreatic cancer undergoing total gastrectomy and pancreatectomy combined with autologous small bowel transplantation

RichHTML

PDF下载

可视化

摘要/Abstract

引用本文

使用本文

参考文献 7

相关文章 15

编辑推荐

Metrics

本文评价