腸造口護(hù)理查房課件整理

造口護(hù)理XX醫(yī)院胃腸外科Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL造口護(hù)理1概述造口護(hù)理造口并發(fā)癥及處理Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL概述2第一部分概述Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL第一部分3世界造口日世界造口日是由國(guó)際造口協(xié)會(huì)倡導(dǎo)的,旨在讓世界造口人和造口工作者加強(qiáng)聯(lián)系和交流,對(duì)全社會(huì)進(jìn)行造口知識(shí)宣教的紀(jì)念日。這個(gè)紀(jì)念日從2019年開始,每3年舉行一次,每次定在10月份的第一個(gè)星Evaluationonry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL世界造口日4關(guān)于腸造口直腸癌是消化系統(tǒng)常見的惡性腫瘤之一,發(fā)病率高,在我國(guó)占全身癌腫的第三位。其中低位直腸癌占70%。低位直腸癌中有部分病人需接受腸造口手術(shù)。據(jù)估計(jì)我國(guó)毎年新增加的永久性腸造口者約10萬(wàn)人,累計(jì)約100萬(wàn)人,今后還有增加的趨勢(shì)Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL關(guān)于腸造口5腸造口的定義及目的定義:源自于希臘語(yǔ),出于某種醫(yī)療目的,人為造成空腔臟器與體表相通。最常見的造口包括腸造口、氣管造口、食管造口、胃造口及泌尿造口等。腸造口是用外科手術(shù)的方式自腹壁所作的開口以利排泄物的排出目的⊙臨時(shí)通道:緩解梗阻、恢復(fù)功能⊙永久性“器官”:腸道的連續(xù)性因疾病而中斷Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL腸造口的定義及目的6造口的適應(yīng)癥◆直腸癌、結(jié)腸癌◆家族性息肉病(結(jié)腸息肉)◆克隆氏病、潰瘍性結(jié)腸炎腸道外傷、梗阻、壞死、吻合口瘺先天性畸形、先天性肛門閉鎖、巨結(jié)腸膀胱癌Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL造口的適應(yīng)癥7正常的造口Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL正常的造口8腸造口的分類→按術(shù)式分:單腔》雙腔攀式(環(huán)狀)1-1單口式造口1-2環(huán)狀式造口1-3雙口式造口Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL腸造口的分類9造口的位置Sigmoidcolostomy左結(jié)腸、乙狀結(jié)腸造口橫結(jié)腸造口回腸、右結(jié)腸造口左下腹部右或左上腹泌尿造口——右下腹Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL造口的位置10腸造口護(hù)理查房課件整理11腸造口護(hù)理查房課件整理12腸造口護(hù)理查房課件整理13腸造口護(hù)理查房課件整理14腸造口護(hù)理查房課件整理15腸造口護(hù)理查房課件整理16腸造口護(hù)理查房課件整理17腸造口護(hù)理查房課件整理18腸造口護(hù)理查房課件整理19腸造口護(hù)理查房課件整理20腸造口護(hù)理查房課件整理21腸造口護(hù)理查房課件整理22腸造口護(hù)理查房課件整理23腸造口護(hù)理查房課件整理24腸造口護(hù)理查房課件整理25腸造口護(hù)理查房課件整理26腸造口護(hù)理查房課件整理27腸造口護(hù)理查房課件整理28腸造口護(hù)理查房課件整理29腸造口護(hù)理查房課件整理30腸造口護(hù)理查房課件整理31腸造口護(hù)理查房課件整理32腸造口護(hù)理查房課件整理33腸造口護(hù)理查房課件整理34腸造口護(hù)理查房課件整理35腸造口護(hù)理查房課件整理36腸造口護(hù)理查房課件整理37腸造口護(hù)理查房課件整理38腸造口護(hù)理查房課件整理39腸造口護(hù)理查房課件整理40腸造口護(hù)理查房課件整理41腸造口護(hù)理查房課件整理42腸造口護(hù)理查房課件整理43腸造口護(hù)理查房課件整理44腸造口護(hù)理查房課件整理45腸造口護(hù)理查房課件整理46腸造口護(hù)理查房課件整理47腸造口護(hù)理查房課件整理48腸造口護(hù)理查房課件整理49腸造口護(hù)理查房課件整理50腸造口護(hù)理查房課件整理51腸造口護(hù)理查房課件整理52腸造口護(hù)理查房課件整理53腸造口護(hù)理查房課件整理54腸造口護(hù)理查房課件整理55腸造口護(hù)理查房課件整理56腸造口護(hù)理查房課件整理57腸造口護(hù)理查房課件整理58腸造口護(hù)理查房課件整理59腸造口護(hù)理查房課件整理60腸造口護(hù)理查房課件整理61腸造口護(hù)理查房課件整理62腸造口護(hù)理查房課件整理63腸造口護(hù)理查房課件整理64腸造口護(hù)理查房課件整理65腸造口護(hù)理查房課件整理66腸造口護(hù)理查房課件整理67腸造口護(hù)理查房課件整理68造口護(hù)理XX醫(yī)院胃腸外科Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL造口護(hù)理69概述造口護(hù)理造口并發(fā)癥及處理Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL概述70第一部分概述Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL第一部分71世界造口日世界造口日是由國(guó)際造口協(xié)會(huì)倡導(dǎo)的,旨在讓世界造口人和造口工作者加強(qiáng)聯(lián)系和交流,對(duì)全社會(huì)進(jìn)行造口知識(shí)宣教的紀(jì)念日。這個(gè)紀(jì)念日從2019年開始,每3年舉行一次,每次定在10月份的第一個(gè)星Evaluationonry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL世界造口日72關(guān)于腸造口直腸癌是消化系統(tǒng)常見的惡性腫瘤之一,發(fā)病率高,在我國(guó)占全身癌腫的第三位。其中低位直腸癌占70%。低位直腸癌中有部分病人需接受腸造口手術(shù)。據(jù)估計(jì)我國(guó)毎年新增加的永久性腸造口者約10萬(wàn)人,累計(jì)約100萬(wàn)人,今后還有增加的趨勢(shì)Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL關(guān)于腸造口73腸造口的定義及目的定義:源自于希臘語(yǔ),出于某種醫(yī)療目的,人為造成空腔臟器與體表相通。最常見的造口包括腸造口、氣管造口、食管造口、胃造口及泌尿造口等。腸造口是用外科手術(shù)的方式自腹壁所作的開口以利排泄物的排出目的⊙臨時(shí)通道:緩解梗阻、恢復(fù)功能⊙永久性“器官”:腸道的連續(xù)性因疾病而中斷Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL腸造口的定義及目的74造口的適應(yīng)癥◆直腸癌、結(jié)腸癌◆家族性息肉病(結(jié)腸息肉)◆克隆氏病、潰瘍性結(jié)腸炎腸道外傷、梗阻、壞死、吻合口瘺先天性畸形、先天性肛門閉鎖、巨結(jié)腸膀胱癌Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL造口的適應(yīng)癥75正常的造口Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL正常的造口76腸造口的分類→按術(shù)式分:單腔》雙腔攀式(環(huán)狀)1-1單口式造口1-2環(huán)狀式造口1-3雙口式造口Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL腸造口的分類77造口的位置Sigmoidcolostomy左結(jié)腸、乙狀結(jié)腸造口橫結(jié)腸造口回腸、右結(jié)腸造口左下腹部右或左上腹泌尿造口——右下腹Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL造口的位置78腸造口護(hù)理查房課件整理79腸造口護(hù)理查房課件整理80腸造口護(hù)理查房課件整理81腸造口護(hù)理查房課件整理82腸造口護(hù)理查房課件整理83腸造口護(hù)理查房課件整理84腸造口護(hù)理查房課件整理85腸造口護(hù)理查房課件整理86腸造口護(hù)理查房課件整理87腸造口護(hù)理查房課件整理88腸造口護(hù)理查房課件整理89腸造口護(hù)理查房課件整理90腸造口護(hù)理查房課件整理91腸造口護(hù)理查房課件整理92腸造口護(hù)理查房課件整理93腸造口護(hù)理查房課件整理94腸造口護(hù)理查房課件整理95腸造口護(hù)理查房課件整理96腸造口護(hù)理查房課