摘要目的:研究伤口护理技术联合处置方案在肝胆管结石术后并发严重肠瘘患者中的应用及效果。方法:分析护理难点；根据肠瘘情况运用伤口护理技术联合处理方案：多重清创技术、新型敷料皮肤保护技术、双套管持续冲洗引流、改良式冲洗负压封闭引流及伤口拉合技术，结合全身性治疗及护理干预。结果:该患者伤口处理12 d肠瘘治愈，24 d伤口感染控制，历时43 d伤口愈合，患者出院。结论:肝胆管结石术后并发严重肠瘘时，应用伤口护理技术联合处置方案，为肠瘘及伤口的愈合提供了新的处理思维和方案。

abstractsObjective:To assess the nursing care experiences and curative effects of the application of wound care technologies combined with other multiple treatments in the hepatolithiasis patient who suffered from postoperative severe intestinal fistula.Methods:The wound care difficult points were analyzed,the wound care technologies combined with other multiple treatments including multiple debridement methods were applied according to the severity of the intestinal fistula:multiple debridement, new skin protection, continuous flushing and drainage with double cannula, improved negative pressure closure drainage and wound pull-in technology, combined with systemic treatment and nursing intervention.Results:The intestinal fistula was treated for 12 days, and the wound infection was controlled for 24 days. Finally the wound was healed after 43 days and patient was discharged from hospital.Conclusions:In the case of severe intestinal fistula after hepatolithiasis operation, the application of wound nursing technology combined with treatment scheme provides a new treatment idea and scheme for intestinal fistula and wound healing.