感染性胰腺坏死清创引流术后脓腔不灌洗患者的护理
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摘要
总结了115例感染性胰腺坏死清创引流术后脓腔不灌洗并且行大口径宽通道引流的方法及护理经验。护理要点:①患者卧床期间应用低负压持续吸引保证引流效果;②通过积极体位改变提升引流效果;③单次小剂量生理盐水冲洗;④掌握大口径宽通道引流管固定技巧;⑤预防切口周围刺激性皮炎的发生。
This paper summarized nursing experience of 115 patients with infected pancreatic necrosis underwent large-caliber wide channel drainage without necrotic cavity lavage after debridement and drainage. Nursing key point was: ① Sustained low negative pressure was applied during bed rest to ensure drainage effect. ② Positive changes of body position were performed to improve drainage effect. ③ Single flushing was conducted using small-dose saline.④ Tube fixed technique should be mastered for large-caliber wide channel drainage. ⑤ The occurrence of irritant dermatitis around the wound should be prevented.
This paper summarized nursing experience of 115 patients with infected pancreatic necrosis underwent large-caliber wide channel drainage without necrotic cavity lavage after debridement and drainage. Nursing key point was: ① Sustained low negative pressure was applied during bed rest to ensure drainage effect. ② Positive changes of body position were performed to improve drainage effect. ③ Single flushing was conducted using small-dose saline.④ Tube fixed technique should be mastered for large-caliber wide channel drainage. ⑤ The occurrence of irritant dermatitis around the wound should be prevented.
引文
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[6]王欣然,张晓雪,张宇,等.胰腺坏死感染阶梯微创手术引流管护理方案的制订及实践[J].中华护理杂志,2017,52(5):571-575.
[2]中华医学会外科学分会胰腺外科学组.急性胰腺炎诊治指南(2014)[J].中华外科杂志,2015,53(1):50-53.
[3]Yokoe M,Takada T,Mayumi T,et al.Japanese guidelines for the management of acute pancreatitis:Japanese Guidelines 2015[J].J Hepatobiliary Pancreat Sci,2015,22(6):405-432.
[4]Tenner S,Baillie J,Dewitt J,et al.American College of Gastroenterology guideline:management of acute pancreatitis[J].Am J Gastroenterol,2013,108(9):1400-1415,1416.
[5]高崇崇,曹锋,刘殿刚,等.感染性胰腺坏死清创引流术后脓腔不灌洗的临床效果[J].中华外科杂志,2018,56(7):512-515.
[6]王欣然,张晓雪,张宇,等.胰腺坏死感染阶梯微创手术引流管护理方案的制订及实践[J].中华护理杂志,2017,52(5):571-575.