Nursing care after segmental small bowel resection in a patient with acute mesenteric vein embolism:a case report
10.3761/j.issn.0254-1769.2024.14.014
- VernacularTitle:1例急性肠系膜静脉栓塞患者行节段性小肠切除的护理
- Author:
Huidi ZHU
1
;
Meiyun ZHANG
;
Yuehong JIANG
;
Qiaoying XU
;
Yehong CHEN
Author Information
1. 310013 杭州市 浙江大学医学院附属第一医院护理部
- Keywords:
Acute Mesenteric Vein Embolism;
Stoma;
Enteral Nutrition;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(14):1757-1760
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing experience of a patient with multiple enterostomies after segmental small bowel resection for acute mesenteric vein embolism.Nursing points:early identification of necrosis of retained intestinal tubes and improvement of early warning care;active improvement of tissue perfusion for retained indeterminate necrotic intestinal tubes;relay enteral nutritional support for 4 stomas based on the collaborative care model;implementation of combined dressing changes for surgical incisions and stomas,control of incisional infections and peristoma dermatitis;attention to the psychological aspects of the patients and their families and provision of psychological support.The patient successfully underwent stoma retraction on the 42nd day after surgery,and no obvious short bowel syndrome occurred in the postoperative period.
