Nursing intestinal fistula.doc

 PAGE \* MERGEFORMAT 5 Nursing intestinal fistula [Keywords:] intestinal fistula; Care Intestinal fistula is a serious surgical complications after gastrointestinal tract [1], because there are a lot of digestive juice and feces out from the fistula, not only cause pathophysiological changes in patients with systemic and cause great pain to the patient, now a cases of intestinal fistula years of nursing experience reported below. 1 Clinical data Female patient, 69 years old, 4 years ago, there was no incentive left loin swelling, pain, local heat. No treatment abscesses and ulceration of the formation of self-purulent discharge from the left sinus outflow waist. After 4 years left loin sinus Repeated ulceration healed, 1 month ago left loin sinus rupture purulent discharge out again in March 17, 2007 to our hospital, the MRI examination to rule out spinal lesions clinic income I left loin sinus formation Hospital urologist. admission examination BP110/70mmHg, T36 , P76 beats / min, R18 / min. improve the examination after the third day after admission by continuous epidural anesthesia in the exploration left loin sinus drainage, A probe found that the descending colon of old fistula, fistula surgery is set around the drainage tube, and chose at second stage surgery. postoperative fluid replacement, anti-inflammatory, nutritional support, and symptomatic treatment, and actively correct the internal environment to maintain water and electrolyte balance. hospitalized laparotomy 20 days after partial colectomy. blood loss 400ml, blood 300ml. access tube, and peritoneal drainage catheter, stable condition after surgery, were discharged. 2 Care 2.1 The psychological care due to illness a long time, good psychological care is necessary, explain to the patient and family knowledge about the disease. For the patients given patiently answered questions, about the success of their treatment and healing of patients, to establish the confidence to overcome