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1.北京市健宫医院 普通外科, 北京, 100054
2.北京市健宫医院 护理部, 北京, 100054
收稿日期:2024-11-28,
录用日期:2025-03-10,
网络出版日期:2025-03-21,
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李瑾, 谭蕾, 王晓明. 1例梗阻性乙状结肠癌Hartmann术后造口皮肤黏膜分离患者的护理体会[DB/OL].中西医结合临床案例库, 2025.
LI Jin, TAN Lei, WANG Xiaoming. Nursing experience of a case of obstructive sigmoid colon cancer with stoma skin and mucosa separation after Hartmann operation[DB/OL].Clinical archives of integrative medicine, 2025.
李瑾, 谭蕾, 王晓明. 1例梗阻性乙状结肠癌Hartmann术后造口皮肤黏膜分离患者的护理体会[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202411280007.
LI Jin, TAN Lei, WANG Xiaoming. Nursing experience of a case of obstructive sigmoid colon cancer with stoma skin and mucosa separation after Hartmann operation[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202411280007.
本文报告1例因乙状结肠癌引发的肠梗阻患者,在接受Hartmann手术后出现造口皮肤黏膜分离的护理案例。通过全面评估患者情况,运用湿性愈合理论进行伤口处理,配合营养支持、心理干预及健康教育等方面的综合护理,患者的造口皮肤黏膜分离得到有效控制,18 d后基本愈合,未并发造口回缩与刺激性皮炎,患者生活质量得到显著提高。
This paper reports a case of nursing care of a patient with intestinal obstruction caused by sigmoid colon cancer who had stoma skin and mucosa separation after Hartmann operation. Through the comprehensive evaluation of the patient's condition, the application of wet healing theory for wound treatment, combined with the comprehensive nursing of nutritional support, psychological intervention and health education, the separation of stoma skin and mucosa of the patient was effectively controlled. After 18 days, the patient basically healed without stoma retraction and irritating dermatitis, and the quality of life of the patient was significantly improved.
苏庆亮 , 贾明洋 , 陈帅帅 , 等 . 腹腔镜与开腹手术对乙状结肠癌恶性肠梗阻的疗效对比 [J]. 中国现代普通外科进展 , 2023 , 26 ( 9 ): 734 - 737 .
SU Q L , JIA M Y , CHEN S S , et al . Comparison of the therapeutic efficacy of laparoscopy and open surgery in the treatment of malignant intestinal obstruction in colon cancer [J]. Chin J Curr Adv Gen Surg , 2023 , 26 ( 9 ): 734 - 737 . (in Chinese)
刘华 , 张小田 . 乙状结肠癌并发恶性肠梗阻处理的临床决策讨论 [J]. 中国肿瘤临床 , 2022 , 49 ( 9 ): 467 - 473 .
LIU H , ZHANG X T . Clinical decision making in the management of sigmoid carcinoma complicated by malignant obstruction [J]. Chin J Clin Oncol , 2022 , 49 ( 9 ): 467 - 473 . (in Chinese)
中国医师协会外科医师分会 , 中国医师协会外科医师分会肿瘤外科医师委员会 , 中国医师协会外科医师分会多学科综合治疗专业委员会 . 恶性肿瘤相关急腹症多学科管理中国专家共识 [J]. 中华胃肠外科杂志 , 2020 , 23 ( 5 ): 421 - 437 .
Chinese Medical Doctor Association Surgeons Branch , Chinese Medical Doctor Association Surgeons Branch Oncology Surgeons Committee , Chinese Medical Doctor Association Surgeons Branch Multidisciplinary comprehensive treatment professional committee . Chinese expert consensus on multidisciplinary management of malignant tumor-associated acute abdomen [J]. Chin J Gastrointest Surg , 2020 , 23 ( 5 ): 421 - 437 . (in Chinese)
陈建曙 . 老年梗阻性乙状结肠癌与高位直肠癌应用两种肠造口术的疗效观察 [J]. 中国实用医药 , 2018 , 13 ( 35 ): 19 - 21 .
CHEN J S . Observation on efficacy of two kinds of enterostomy applied for elderly obstructive sigmoid colon cancer and high rectal cancer [J]. China Pract Med , 2018 , 13 ( 35 ): 19 - 21 . (in Chinese)
柯梦 , 喻学桥 , 江从庆 , 等 . 国内结肠造口术和回肠袢式造口术对老年乙状结肠癌、直肠癌的临床疗效的Meta分析 [J]. 中华结直肠疾病电子杂志 , 2019 , 8 ( 1 ): 42 - 49 .
KE M , YU X Q , JIANG C Q , et al . Clinical efficacy of leal loop colostomy surgery vs colostomy in sigmoid colon cancer and rectal cancer: a Meta-analysis [J]. Chin J Colorectal Dis Electron Ed , 2019 , 8 ( 1 ): 42 - 49 . (in Chinese)
丁炎明 . 造口护理学 [M]. 北京 : 人民卫生出版社 , 2017 .
张佩英 , 傅晓瑾 , 高艳红 . 成人肠造口皮肤黏膜分离护理专家共识 [J]. 中国研究型医院 , 2022 , 9 ( 5 ): 9 - 12 .
ZHANG P Y , FU X J , GAO Y H . Expert consensus on mucocutaneous separation nursing for adult enterostomy [J]. Chin Res Hosp , 2022 , 9 ( 5 ): 9 - 12 . (in Chinese)
施婕 , 罗比可 , 刘琳 . 41例肠造口患者造口皮肤黏膜分离的护理 [J]. 中华护理杂志 , 2011 , 46 ( 3 ): 243 - 244 .
SHI J , LUO B K , LIU L . Nursing care of 41 enterostomy patients with mucocutaneous separation [J]. Chin J Nurs , 2011 , 46 ( 3 ): 243 - 244 . (in Chinese)
魏敏 , 金莉 , 季怡虹 . “ 伤口感染临床实践: 最佳实践原则(2022)” 解读 [J]. 创伤外科杂志 , 2023 , 25 ( 6 ): 408 - 412 .
WEI M , JIN L , JI Y H . Interpretation of wound infection in clinical practice: best practice principles (2022) [J]. J Trauma Surg , 2023 , 25 ( 6 ): 408 - 412 . (in Chinese)
白峻阁 , 王哲学 , 杨明 , 等 . 腹腔镜直肠癌低位前切除术经预防性回肠造口部位取标本的可行性及对造口还纳的影响 [J]. 结直肠肛门外科 , 2023 , 29 ( 5 ): 443 - 448, 454 .
BAI J G , WANG Z X , YANG M , et al . Feasibility of extracting specimens from the site of preventive ileostomy and its impact on stoma retraction of laparoscopic low anterior resection for rectal cancer [J]. J Colorectal Anal Surg , 2023 , 29 ( 5 ): 443 - 448, 454 . (in Chinese)
郑洪伶 , 蒋璐 , 苏琼 . 国际伤口感染研究所2022版《临床实践中的感染伤口: 最佳实践原则》中伤口感染风险评估、识别和诊断内容解读 [J]. 护理研究 , 2023 , 37 ( 15 ): 2665 - 2672 .
ZHENG H L , JIANG L , SU Q . Interpretation of wound infection risk assessment, identification and diagnosis in “Wound infection in clinical practice: principles of best practice(2022 edition)” by the International Wound Infection Institute [J]. Chin Nurs Res , 2023 , 37 ( 15 ): 2665 - 2672 . (in Chinese)
韦娟 , 芦婷 , 牛晓萍 . ARC造口更换流程在泌尿造口刺激性皮炎中的应用效果 [J]. 当代护士(上旬刊) , 2020 , 27 ( 9 ): 43 - 45 .
WEI J , LU T , NIU X P . Application effect of ARC stoma replacement process in irritant dermatitis of urostomy [J]. Contemporary Nurses (Last ten days) , 2020 , 27 ( 9 ): 43 - 45 . (in Chinese)
杨赟 , 李莉 . 造口粉联合皮肤保护膜多次使用在造口周围皮肤损伤中的应用 [J]. 实用临床护理学电子杂志 , 2020 , 5 ( 7 ): 115 .
YANG Y , LI L . Application of ostomy powder combined with skin protective film in treating skin injury around the stoma [J]. Electronic Journal of Practical Clinical Nursing , 2020 , 5 ( 7 ): 115 . (in Chinese)
刘武莲 , 周育望 , 王桂兰 , 等 . 藻酸盐敷料联合针对性护理对肠造口手术后发生造口皮肤黏膜分离的影响 [J]. 中国当代医药 , 2024 , 31 ( 14 ): 166 - 170 .
LIU W L , ZHOU Y W , WANG G L , et al . Effect of alginate dressing combined with targeted care on the separation of stoma skin and mucosa after enterostomy surgery [J]. China Mod Med , 2024 , 31 ( 14 ): 166 - 170 . (in Chinese)
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