Nursing care of a patient with severe abdominal traumatic enteroatmospheric fistula undergoing a second skin grafting: a case report
10.3761/j.issn.0254-1769.2017.01.017
- VernacularTitle:1例严重腹部外伤致肠空气瘘患者行二次腹壁植皮术的护理
- Author:
Yangyang XUE
;
Tianqi SHI
;
Cuili WU
;
Xianghong YE
;
Weiwei DING
;
Nanhai PENG
- Keywords:
Abdominal Injuries;
Intestinal Fistula;
Nursing Care
- From:
Chinese Journal of Nursing
2017;52(1):80-83
- CountryChina
- Language:Chinese
-
Abstract:
This report summarized the nursing experience of caring for twice skin grafts in a patient with enteroatmospheric fistula after trauma.Keys to nursing success including:monitoring vital signs closely to prevent septic shock,blocking enteroatmospheric fistula (EAF) and sucking overflowed intestinal juice timely,promoting the protection of the graft on abdominal wall wounds,strengthing drainage and lavage with the application of abdominal double cannula to control abdominal infection,early nutrion support with parenteral nutrition in combination with trophic enteral nutrition to improve intestinal immune function,and attaching importance to post-traumatic stress disorder.Timely blocking of EAF is the bases of skin graft healing.
