引用文本：郑雪柳, 卢碧茵, 石锐, 等. 1例胃癌术后患者因微量营养素缺乏致皮肤红斑伴糜烂的护理体会[J/CD]. 消化肿瘤杂志（电子版）, 2025, 17(2):250-254.

作者：郑雪柳，卢碧茵，石锐，刘成，李丹丹，徐岩

单位：中山大学附属第一医院　胃肠外科，广东　广州　510080

Authors：Zheng Xueliu, Lu Biyin, Shi Rui, Liu Cheng, Li Dandan, Xu Yan

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

摘要：

总结1例胃癌术后患者因长期进食状况不佳，在中山大学附属第一医院行全肠外营养支持治疗1个月后出现微量营养素缺乏而引发全身散在红斑伴局部糜烂的护理经验。护理要点包括：采取多学科诊疗模式，共同制定个性化护理方案；根据皮损进展的不同阶段及检验证据进行皮肤换药护理，并干预疼痛和解决瘙痒问题；密切评估患者的营养状况，落实肠外营养用药护理，防止并发症的发生；加强患者的心理护理。患者经过半个月的治疗与护理，皮肤好转，且2个月内无复发及其他并发症的发生。

关键词：微量营养素；微量元素；维生素；肠外营养；皮肤损害；胃癌术后

Abstract：

To summarize the nursing experience of a case of postoperative gastric cancer patient who developed generalized scattered erythema with localized erosion, due to prolonged poor oral intake, and micronutrient deficiency after one-month total parenteral nutrition support in the First Affiliated Hospital of Sun Yat-Sen University. The key points of nursing included: adopting a multidisciplinary diagnosis and treatment model to formulate personalized nursing plans; performing wound dressing care based on skin lesions progression and laboratory evidence, and intervening for pain management and pruritus relief; closely evaluating nutritional status of the patient, and implementing parenteral nutrition protocols to prevent complications; reinforcing psychological support of the patient. After half a month of treatment and care, the patient's skin became better, and there was no recurrence or other complications within 2 months.

Key words：Micronutrient; Trace element; Vitamin; Parenteral nutrition; Skin lesions; Post-gastrectomy

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