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.

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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

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