摘要
总结1例重症急性胰腺炎合并腹腔间隔室综合征患者以超声为导向行肠内营养的护理经验。护理重点包括早期评估营养风险;超声筛查肠内营养禁忌证;降低腹内压为尽早实施肠内营养创造条件;超声辅助喂养途径的选择和建立;通过超声可视化定性、定量评估协助肠内营养的实施与监测。经过13 d治疗,患者营养状况改善,病情稳定,顺利转入普通病房。
To summarize the nursing experience of ultrasound-guided enteral nutrition support in a patient with severe acute pancreatitis(SAP)complicated by abdominal compartment syndrome(ACS).Key nursing interventions included:early assessment of nutritional risk;screening for contraindications to enteral nutrition(EN)using ultrasound;reducing intra-abdominal pressure to facilitate early EN initiation;ultrasound-assisted selection and placement of feeding access;and qualitative and quantitative assessment via ultrasound visualization to guide EN implementation and monitoring.Through nurse-led,ultrasound-guided EN management,the patient′s EN was safely and smoothly administered.After 13 days of treatment,the patient′s nutritional status improved,clinical condition stabilized,and he was successfully transferred to a general ward.
作者
靳瑾
王欣然
李泽宇
杨清
田盾
孙杨
钟平
曹岚
Jin Jin;Wang Xinran;Li Zeyu;Yang Qing;Tian Dun;Sun Yang;Zhong Ping;Cao Lan(Department of General Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)
出处
《护理学杂志》
北大核心
2025年第16期53-56,共4页
Journal of Nursing Science
基金
中南大学研究生教育教学改革项目(2022JGB124)
湖南省自然科学基金委员会-湖南湘雅博爱康复医院有限公司联合资助项目(2024JJ9113)
中国社会福利基金会护理创新扶持工程护理科研课题(HLCXKT-20230129)。
关键词
急性胰腺炎
腹腔间隔室综合征
超声
肠内营养
腹内压
重症护理
severe acute pancreatitis
abdominal compartment syndrome
ultrasound
enteral nutrition
intra-abdominal pressure
critical care
