Perioperative management of postoperative sigmoid colon cancer complicated by a large abdominal wall defect:A case report
作者机构：Department of NursingAnhui Medical CollegeHefei 230601Anhui ProvinceChina Department of Gastrointestinal SurgeryHefei First People’s HospitalHefei 230061Anhui ProvinceChina Department of Gastrointestinal SurgeryAnhui Medical University(the Third Affiliated Hospital)Hefei 230061Anhui ProvinceChina
出 版 物：《World Journal of Clinical Oncology》 (世界临床肿瘤学杂志（英文版）)
年 卷 期：2024年第15卷第10期
页 面：1333-1341页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：Supported by Youth Project of Anhui Provincial Health Commission T No.AHWJ2023A30225
主 题：Large abdominal wall defect Multiple intestinal fistula Perioperative period Nursing Tumor Case report
摘 要：BACKGROUND Large abdominal wall defect(LAWD)measures20 cm in *** can easily lead to intestinal necrosis,peritonitis,other complications,and even mul-tiple organ dysfunction *** intestinal fistulas are high-flow fis-tulas that can cause severe water–electrolyte imbalance and malnutrition,as well as inflammation,high metabolic status,and chronic intestinal failure caused by intestinal fluid corrosion in tissues around the orifice *** SUMMARY This article summarizes the nursing experience of a patient with sigmoid carci-noma who has LAWD with multiple intestinal fistula due to repeated operations for postoperative *** key points of care:Scientific assessment of nutritional status,dynamic adjustment of nutritional support programmes,com-prehensive adoption of enteral nutrition,parenteral nutrition and combined nut-rition of enteral and parenteral;taking good care of abdominal wall defects and intestinal fistulas;continuous flushing of the abdominal drainage tube and low negative pressure drainage;prevention of venous thrombosis;strengthening of physical exercise;implementation of positive psychological *** After more than 7 months of careful care,the patient s physical fitness has been well recovered,local inflammation is well controlled,which wins the opportunity for the operation,and the postoperative recovery is good.
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