总结5例各种原因所致短肠综合征患儿小肠移植术后早期移植肠康复的护理。针对儿童小肠移植手术复杂、术后并发症多、营养不良、心理应激、移植肠造口居家管理等问题,采取建立促进移植肠康复多学科协作团队;做好移植肠早期并发症的预防与护理;实施移植肠分阶段营养支持与护理;稳定患儿情绪配合移植肠康复的治疗与护理;开展患儿家长移植肠造口居家管理技能培训及考核等护理措施。经过积极治疗和护理,5例患儿术后早期移植肠功能顺利康复,出院后按时复诊;术后3~4个月均如期完成“回肠造口还纳术”,随访4~12个月,恢复良好。
To summarize the nursing of early transplant bowel rehabilitation after small bowel transplantation in 5 children with short bowel syndrome caused by various causes. In view of the complex small intestine transplantation in children,many postoperative complications,malnutrition,psychological stress,and home management of transplanted enterostomy,a multidisciplinary collaborative team was established to promote transplanted bowel rehabilitation. We did a good job in the prevention and care of early complications of transplanted intestines,implemented phased nutritional support and care for transplanted intestines,stabilized the child‘s emotions to cooperate with the treatment and nursing of transplanted bowel rehabilitation,carried out training and assessment of home management skills for parents of children with transplanted enterostomy. After active treatment and careful nursing,their early transplanted bowel function recovered smoothly after surgery,and they returned to the hospital on time after discharge. The ileostomy restoration was completed as scheduled 3~4 months after the operation,and the follow-up was 4~12 months,and the recovery was good.
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