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中华危重症医学杂志(电子版) ›› 2024, Vol. 17 ›› Issue (02) : 173 -174. doi: 10.3877/cma.j.issn.1674-6880.2024.02.015

护理园地

严重胰腺外伤术后胰瘘22例护理分析
沈婵娟1, 卢芳燕1, 邵荣雅1,()   
  1. 1. 310003 杭州,浙江大学医学院附属第一医院护理部
  • 收稿日期:2024-03-04 出版日期:2024-04-30
  • 通信作者: 邵荣雅
  • 基金资助:
    浙江省医药卫生科技计划项目(2023KY675)
  • Received:2024-03-04 Published:2024-04-30
引用本文:

沈婵娟, 卢芳燕, 邵荣雅. 严重胰腺外伤术后胰瘘22例护理分析[J]. 中华危重症医学杂志(电子版), 2024, 17(02): 173-174.

胰腺外伤是少见的创伤性疾病,约占所有创伤住院患者的0.3%[1]。美国创伤外科学会(American Association for the Surgery of Trauma,AAST)将伤及主胰管的胰腺外伤归类为严重胰腺外伤,需要手术治疗[2]。胰腺外伤手术有以下特点:①受钝性暴力打击而受损的胰腺组织继发形成较大范围的血肿,局部炎症水肿明显;②若合并胃肠道、胆道损伤,则同时合并有污染;③外伤患者一般情况差,处于围手术期休克状态,且手术往往急诊进行,术前准备欠充分。因此,胰腺外伤术后胰腺组织愈合能力差,导致胰瘘发生率更高、处理更棘手,相应护理措施也具有特殊性。有鉴于此,本研究拟通过回顾性分析浙江大学医学院附属第一医院严重胰腺外伤术后胰瘘的护理措施,结合文献总结护理要点,为严重胰腺外伤患者术后胰瘘的护理提供参考及借鉴。

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