ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会
重症护理研究

小肠联合部分结肠直肠移植及肛门吻合术患者的护理

  • 蔡小凤 ,
  • 徐静 ,
  • 赵惠英 ,
  • 吴国生
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  • 310012 杭州市 浙江大学医学院附属第一医院护理部
蔡小凤:女,本科,主管护师,E-mail:Caixf998534@163.com
赵惠英,E-mail:1522043@zju.edu.cn

收稿日期: 2024-05-17

  网络出版日期: 2025-04-02

基金资助

浙江省医药卫生科技计划项目(2022KY160);浙大一院护理学科建设科研项目(2023ZYHL01)

Nursing care of a patient undergoing small intestine combined with partial colorectal transplantation and anal anastomosis

  • CAI Xiaofeng ,
  • XU Jing ,
  • ZHAO Huiying ,
  • WU Guosheng
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Received date: 2024-05-17

  Online published: 2025-04-02

摘要

总结1例小肠联合部分结肠直肠移植及肛门吻合术患者的护理体会。针对患者术后排异、营养、血糖、血流动力学、感染和术后随访管理等护理问题,采取实时监测和精准免疫抑制治疗,开展围手术期全程化营养管理,优化血糖监测策略,实施精细化液体管理,制订个性化随访管理方案。经过59 d的积极治疗和精心护理,患者顺利出院,并于移植术后4个月实施造口还纳术,恢复肠道连续性。

本文引用格式

蔡小凤 , 徐静 , 赵惠英 , 吴国生 . 小肠联合部分结肠直肠移植及肛门吻合术患者的护理[J]. 中华急危重症护理杂志, 2025 , 6(4) : 455 -458 . DOI: 10.3761/j.issn.2096-7446.2025.04.012

Abstract

To summarize the nursing experience of a patient undergoing small intestine combined with partial colorectal transplantation and anal anastomosis. In view of the nursing problems of patients with postoperative rejection,nutrition,blood glucose,hemodynamics,infection and postoperative follow-up management,real-time monitoring and precise immunosuppressive therapy were adopted,perioperative whole-process nutrition management was carried out,blood glucose monitoring strategies were optimized,refined fluid management was implemented,and personalized follow-up management plans were formulated. After 59 days of active treatment and careful nursing,the patient was discharged from the hospital successfully,and the ostomy was restored 4 months after the transplantation to restore intestinal continuity.

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