关键词: 肠外瘘, 瘘口内插管转流技术, 创面管理, 危重病护理

Abstract:

This article summarizes the nursing experience of three patients with enterocutaneous fistula who underwent intra-fistula intubation diversion technique. Addressing challenges such as high output of fistula drainage，difficulty in collecting intestinal fluid，special fistula locations（adjacent to or within the surgical incision），difficulty in would management and malnutrition，interventions included intra-fistula intubation diversion，cuff pressure monitoring，catheter removal care，specialized wound management，and nutritional support. Through meticulous monitoring and precise management，one patient achieved spontaneous fistula closure，while the other two underwent secondary fistula repair surgery. All patients recovered and were discharged successfully.

Key words: Enterocutaneous Fistula, Intra-Fistula Intubation Diversion Technique, Wound Management, Critical Care Nursing