Abstract: This article summarized the nursing experience of multiple gastrointestinal fistulas after operation in a patient with acute hemorrhagic necrotizing enteritis and septic shock. The patients had severe postoperative infections,poor nutritional status,multiple incisions and fistulas with close location and large excretion. Multi-disciplinary joint evaluation,diagnosis and treatment were conducted. Nursing measures included implementing empirical combined antibiotic therapy according to multiple drug-resistant bacterial infections with different strains,dynamic adjustment of total intravenous nutrition formula,inhibition of digestive juice secretion,psychological support and etc. And nurses used vacuum sealing drainage technology,separated the areas of incisions and fistulas for management,selected appropriate ostomy bags to effectively collect fistula excrement and avoid leakage,to promote the healing of the incision. The patient's infection was controlled 30 days after the operation,the abdominal incision was healed,and the fistula functioned well. The patient can take care of himself 4 months after the operation,which laid the foundation for the later treatment.

Key words: Enterocolitis, Necrotizing, Infections, Fistula, Incision, Emergency Nursing