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PPT 肠瘘引流三个刻度

  • 2026-11-09 22:37:11
PPT 肠瘘引流三个刻度
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肠瘘护理，引流管是命根子，不是摆设。这份 PPT 压了三晚，把高位肠瘘管理浓缩成三个刻度。第一刻度，负压 ——10 到 20kPa，不是越大越好，间歇模式 - 15kPa 避免黏膜损伤，这个调法是验证过的。第二刻度，灌洗 —— 每日 2000 到 4000ml，40 到 60 滴每分钟，等渗盐水，温度 30 到 40 度，进出量要对平，灌洗量大于引流量就是堵了。第三刻度，瘘口皮肤 —— 三步保护法，生理盐水环形清洁 5 厘米，水胶体敷料中空式覆盖孔径大于瘘管 2 厘米，氧化锌涂成堤坝状厚度超 2 毫米。我验过了，引流液淀粉酶从 1200 降到 37，就是这三个刻度卡出来的。最后一页总结写了 "肠瘘日记提前 6 小时预警堵管"，患者自己记的日记比护士巡查还灵敏，这页比前面所有流程图都值钱。
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PPT丨肠癌临床思维训练_49页

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  1. CONNECT:[ UseTime:0.000658s ] mysql:host=172.18.0.4;port=3306;dbname=h_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001032s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000504s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000394s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000684s ]
  6. SELECT * FROM `set` [ RunTime:0.000359s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.000772s ]
  8. SELECT * FROM `article` WHERE `id` = 563045 LIMIT 1 [ RunTime:0.000569s ]
  9. UPDATE `article` SET `lasttime` = 1794290256 WHERE `id` = 563045 [ RunTime:0.001639s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.000377s ]
  11. SELECT * FROM `article` WHERE `id` < 563045 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000548s ]
  12. SELECT * FROM `article` WHERE `id` > 563045 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000478s ]
  13. SELECT * FROM `article` WHERE `id` < 563045 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.000540s ]
  14. SELECT * FROM `article` WHERE `id` < 563045 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.000582s ]
  15. SELECT * FROM `article` WHERE `id` < 563045 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.000730s ]
0.090325s