总结1例严重胸腹联合伤术后继发高流量肠外瘘患者的护理体会。针对患者高流量肠外瘘、局部伤口腐蚀严重、营养不良、水电解质紊乱及预感性悲哀等问题,采取双重双套管冲洗引流技术,造口护理技术联合高吸收性敷料,多模式营养支持方案,持续监测与纠正水、电解质紊乱,鼓励心理宣泄、积极有效的心理疏导等措施。患者入院108 d,伤口肉芽组织生长;170 d肠瘘愈合,历时231 d患者创面愈合出院。
To summarize the nursing experience of a patient with high flow enterocutaneous fistula secondary to severe thoracoabdominal combined injury. In terms of high flow enterocutaneous fistula,severe corrosion of local wound,malnutrition,water electrolyte disorder and anticipatory grief,dual double pipe flushing drainage technology and colostomy nursing technology combined high absorbent dressings,multimodal nutrition support scheme,continuous monitoring and correcting of water and electrolyte disorder,encouraging psychological venting and positive effective psychological counseling were adopted. The granulation tissue of the wound grew 108 days after admission,the enterocutaneous fistula healed 170 days after admission,and the wound healed and the patient was discharged 231 days after admission.
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