作者：蒋满凤1，张四芳2，陈颖1，彭利芬1

单位：1. 中山大学附属第一医院胃肠外科二科，广东 广州 510080；2. 中山大学附属第一医院胃肠外科一科，广东 广州 510080

Authors: Jiang Manfeng1, Zhang Sifang2, Chen Ying1, Peng Lifen1

Unit: 1. Unit 2, Department of Gastrointestinal Surgery, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, Guangdong, China；2. Unit 1, Department of Gastrointestinal Surgery, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, Guangdong, China

摘要：

总结1例抗中性粒细胞胞浆抗体相关性血管炎小肠切除术后并4期压力性损伤患者的护理经验。该病例的护理要点包括：成立个案护理小组，重点关注患者压力性损伤伤口的护理，积极预防感染，并为患者提供营养支持治疗、造口护理、康复训练和心理护理。在多科室医护共同诊疗、悉心护理后，患者病情稳定，骶尾部4期压力性损伤伤口创面较之前明显好转缩小，最终转归出院。后续随访患者骶尾部压力性损伤伤口经创面修复及积极换药后愈合良好。

关键词： 抗中性粒细胞胞浆抗体相关性血管炎；嗜酸性肉芽肿性多血管炎；压力性损伤；护理

Abstract：

To summarize nursing experience of a patient with anti-neutrophil cytoplasmic antibody-associated vasculitis and stage 4 pressure injury after small bowel resection. There are several critical aspects of nursing for this patient: establishing a case nursing group, focusing on the care of pressure injury wounds, actively preventing infection, and providing nutritional support, ostomy care, rehabilitation training, and psychological care for patient. After joint diagnosis and treatment and careful care by medical staff from multiple departments, the patient's condition became stable and his wound surface of stage 4 pressure injury in the sacrococcygeal region showed significant improvement and shrinkage, and was ultimately discharged. Subsequent follow-up showed that the wound of patient's sacrococcygeal pressure injury healed well after wound repair and prompt dressing changes.

Key Words: Anti-neutrophil cytoplasmic antibody-associated vasculitis; Eosinophilic granulomatosis polyangitis; Pressure injury; Nursing