作者：喻小青，赖小令，金芳，赖淑蓉

单位：中山大学附属第一医院胃肠外科中心，广东 广州 510080

Authors: Yu Xiaoqing, Lai Xiaoling, Jin Fang, Lai Shurong

Unit: Department of Gastrointestinal Surgery, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, Guangdong, China

摘要：

总结1例盆腔巨大孤立性纤维性肿瘤伴德格-波特综合征患者的围手术期护理经验。护理要点包括：采取多学科协作，参与医护一体查房，共同制定护理方案。术前密切监测患者的血糖波动情况，及时发现患者出现低血糖的高频时间段，预防低血糖发生。术后密切监测患者的血糖波动情况和病情变化情况，根据加速康复外科理念指导术后康复护理，包括术后早期活动、防止静脉栓塞、早进食及预防并发症发生等。经过悉心护理，患者于术后第6天顺利出院。经1个月随访，患者预后良好，已恢复正常生活。

关键词： 盆腔；巨大；孤立性纤维瘤；德格-波特综合征；围手术期护理

Abstract：

To summarize the perioperative care experience of a patient with pelvic huge solitary fibrous tumor and Doege -Potter syndrome. There are several critical aspects of nursing for this patient: adopting multidisciplinary collaboration, participating in integrated medical and nursing ward rounds and jointly formulating nursing plans. The patient's blood sugar fluctuations were closely monitored before surgery, and high-frequency periods of hypoglycemia in patient were promptly discovered to prevent the occurrence of hypoglycemia. After the operation, the patient's blood sugar fluctuations and condition changes were closely monitored, and the concept of enhanced recovery after surgery was applied to provide guidance for postoperative recovery care, such as early postoperative activities, preventing venous emboli, eating early, and preventing complications. After careful care, the patient was discharged from hospital on the 6th postoperative day. After one-month of follow-up, the patient recovered well and returned to normal life.

Key Words: Pelvic cavity; Huge; Solitary fibroma; Doege-Potter syndrome; Perioperative care