肠造口治疗与肠皮肤瘘患者的伤口护理。
Enterostomal therapy and wound care of the enterocutaneous fistula patient.
作者信息
Hoedema Rebecca E, Suryadevara Sree
机构信息
Colon and Rectal Surgery, Ferguson Clinic/Spectrum Health, Michigan State University Medical School, Grand Rapids, Michigan.
出版信息
Clin Colon Rectal Surg. 2010 Sep;23(3):161-8. doi: 10.1055/s-0030-1262983.
Abstract
Enterocutaneous fistulas represent a challenging situation with respect to wound care and stoma therapy. An understanding of the principles of wound care and the various techniques and materials that are available is of vital importance to enhance patient comfort and recovery as well as facilitate fistula healing. Skin barriers, adhesives, dressings, pouches, and negative pressure dressings are all materials that are available in the armamentarium of the enterostomal therapist. Proper utilization of these items and appropriate modifications to their application requires an intimate knowledge of the characteristics of the fistula being treated. Wound care management is a key element in the overall care and healing of the enterocutaneous fistula.
摘要
肠皮肤瘘在伤口护理和造口治疗方面是一个具有挑战性的情况。了解伤口护理原则以及可用的各种技术和材料对于提高患者舒适度和促进康复以及促进瘘管愈合至关重要。皮肤屏障、粘合剂、敷料、造口袋和负压敷料都是造口治疗师的工具库中可用的材料。正确使用这些物品并对其应用进行适当调整需要深入了解所治疗瘘管的特征。伤口护理管理是肠皮肤瘘整体护理和愈合的关键要素。
相似文献
1
Enterostomal therapy and wound care of the enterocutaneous fistula patient.肠造口治疗与肠皮肤瘘患者的伤口护理。
Clin Colon Rectal Surg. 2010 Sep;23(3):161-8. doi: 10.1055/s-0030-1262983.
2
Exploration of critical care nurses' challenges in caring for enterocutaneous fistula as a complication for an open abdomen: A qualitative study.探索重症护理护士在护理作为开放性腹部并发症的肠皮肤瘘时所面临的挑战：一项定性研究。
Health Sci Rep. 2024 May 13;7(5):e2051. doi: 10.1002/hsr2.2051. eCollection 2024 May.
3
Successful treatment of enterocutaneous fistula after esophagectomy with scopolamine ointment and negative pressure wound therapy: a case report.东莨菪碱软膏联合负压伤口治疗成功治愈食管癌切除术后肠皮肤瘘：一例报告
Surg Case Rep. 2020 Jul 22;6(1):177. doi: 10.1186/s40792-020-00938-2.
4
5
Skin care management of gastrointestinal fistulas.胃肠道瘘的皮肤护理管理
Surg Clin North Am. 1996 Oct;76(5):1095-109. doi: 10.1016/s0039-6109(05)70499-0.
6
Considerations for the management of enterocutaneous fistula.肠皮肤瘘的管理考量
Br J Nurs. 2019 Mar 14;28(5):S24-S31. doi: 10.12968/bjon.2019.28.5.S24.
7
Nursing management of multiple enterocutaneous fistulae located in the center of a large open abdominal wound: a case study.
Ostomy Wound Manage. 1998 Jan;44(1):20-4.
8
Surgical management of enterocutaneous fistula.肠外瘘的外科处理。
Korean J Radiol. 2012 Jan-Feb;13 Suppl 1(Suppl 1):S17-20. doi: 10.3348/kjr.2012.13.S1.S17. Epub 2012 Apr 23.
9
Use of a silver dressing for management of an open abdominal wound complicated by an enterocutaneous fistula-from hospital to community.银敷料在治疗并发肠外瘘的开放性腹部伤口中的应用：从医院到社区。
J Wound Ostomy Continence Nurs. 2013 Jan-Feb;40(1):101-3. doi: 10.1097/WON.0b013e318279bfa5.
10
Novel techniques using negative pressure wound therapy for the management of wounds with enterocutaneous fistulas in a long-term acute care facility.在长期急性护理机构中，使用负压伤口疗法处理肠皮肤瘘伤口的新技术。
J Wound Ostomy Continence Nurs. 2013 Sep-Oct;40(5):481-8. doi: 10.1097/WON.0b013e3182a21c08.
引用本文的文献
1
Gastrointestinal Fistulas-What Gastroenterologists Need to Know in 2025.胃肠瘘——2025年胃肠病学家需要了解的内容
Can J Gastroenterol Hepatol. 2025 Aug 13;2025:6210421. doi: 10.1155/cjgh/6210421. eCollection 2025.
2
Stoma related complications: A registry study based on a prospective registration system.造口相关并发症：一项基于前瞻性登记系统的注册研究。
World J Gastrointest Oncol. 2025 Mar 15;17(3):102604. doi: 10.4251/wjgo.v17.i3.102604.
3
Catheter Injectable Multifunctional Biomaterial for the Treatment of Infected Enterocutaneous Fistulas.用于治疗感染性肠皮肤瘘的导管可注射多功能生物材料
Adv Sci (Weinh). 2025 May;12(20):e2414642. doi: 10.1002/advs.202414642. Epub 2025 Feb 14.
4
The Crucial Role of Nurses in the Comprehensive Management of Postoperative Enteroatmospheric Fistula: A Narrative Review.护士在术后肠-气瘘综合管理中的关键作用：一项叙述性综述
Curr Health Sci J. 2024 Jan-Mar;50(1):12-19. doi: 10.12865/CHSJ.50.01.02. Epub 2024 Mar 31.
5
Anastomotic Leakage after Colorectal Surgery: Risk Factors, Diagnosis and Therapeutic Options.结直肠手术后的吻合口漏：危险因素、诊断及治疗选择
Curr Health Sci J. 2023 Jul-Sep;49(3):333-342. doi: 10.12865/CHSJ.49.03.05. Epub 2023 Sep 30.
6
Therapeutic Options in Postoperative Enterocutaneous Fistula-A Retrospective Case Series.术后肠外瘘的治疗选择——一项回顾性病例系列研究。
Medicina (Kaunas). 2022 Jun 30;58(7):880. doi: 10.3390/medicina58070880.
7
Management of Enterocutaneous Fistula: A Review.肠外瘘的处理：综述。
JNMA J Nepal Med Assoc. 2022 Jan 15;60(245):93-100. doi: 10.31729/jnma.5780.
8
The etiology of enterocutaneous fistula predicts outcome.肠皮肤瘘的病因决定预后。
Ochsner J. 2013 Winter;13(4):507-11.
9
Metabolic and nutritional support of the enterocutaneous fistula patient: a three-phase approach.肠外瘘患者的代谢和营养支持：分阶段处理。
World J Surg. 2012 Mar;36(3):524-33. doi: 10.1007/s00268-011-1315-0.
本文引用的文献
1
Treatment of high-output enterocutaneous fistulas with a vacuum-compaction device. A ten-year experience.使用真空压缩装置治疗高流量肠皮肤瘘：十年经验
World J Surg. 2008 Mar;32(3):430-5. doi: 10.1007/s00268-007-9235-8.
2
Enterocutaneous fistula: are treatments improving?肠皮肤瘘：治疗方法是否在改善？
Surgery. 2006 Oct;140(4):570-6; discussion 576-8. doi: 10.1016/j.surg.2006.07.003. Epub 2006 Sep 6.
3
The "Fistula VAC," a technique for management of enterocutaneous fistulae arising within the open abdomen: report of 5 cases.“瘘管真空辅助闭合术”：一种用于处理开放性腹部肠皮肤瘘的技术：5例报告
J Trauma. 2006 Feb;60(2):428-31; discussion 431. doi: 10.1097/01.ta.0000203588.66012.c4.
4
Current management of enterocutaneous fistula.肠皮肤瘘的当前管理
J Gastrointest Surg. 2006 Mar;10(3):455-64. doi: 10.1016/j.gassur.2005.08.001.
5
Vacuum assisted closure system in the management of enterocutaneous fistulae.负压封闭引流系统在肠外瘘治疗中的应用
Postgrad Med J. 2002 Jun;78(920):364-5. doi: 10.1136/pmj.78.920.364.
6
Enterocutaneous fistulas: current diagnosis and management.肠皮肤瘘：当前的诊断与管理
Curr Surg. 2000 Sep 1;57(5):443-445. doi: 10.1016/s0149-7944(00)00319-6.
7
Closed suction wound drainage.封闭式负压伤口引流
Nursing. 1997 Nov;27(11):62-4. doi: 10.1097/00152193-199711000-00029.
8
Skin care management of gastrointestinal fistulas.胃肠道瘘的皮肤护理管理
Surg Clin North Am. 1996 Oct;76(5):1095-109. doi: 10.1016/s0039-6109(05)70499-0.
9
Management of the enterocutaneous fistula (continuous education credit).肠皮肤瘘的管理（继续医学教育学分）
J Enterostomal Ther. 1984 Nov-Dec;11(6):211-28. doi: 10.1097/00152192-198411000-00032.
10
Management of small bowel fistulas.小肠瘘的管理
Am J Surg. 1983 May;145(5):593-5. doi: 10.1016/0002-9610(83)90099-5.
Zotero 插件