在重症患者中使用便管理系统后的阴道穿孔:一系列案例
Sarah V Sebastian1, Nicole P Jenkins2, Amber W Chan1
1Department of Obstetrics and Gynecology, Hackensack Meridian Jersey Shore University Medical Center, Neptune, USA.
Cureus
|February 27, 2026
概括
便管理系统 (FMS) 在重症监护室 (ICU) 患者中可能导致罕见的阴道穿孔. 医疗保健提供者应监测FMS的使用情况,特别是在患有DIC等凝血病症的重症患者中.
科学领域:
- 关键护理医学 关键护理医学
- 胃肠病学 胃肠病学
- 妇科 妇科 妇科 妇科
背景情况:
- 便失禁在重症监护室 (ICU) 患者中很常见.
- 便管理系统 (FMS) 管理便,但存在风险.
- 罕见但严重的并发症,包括阴道穿孔,已在FMS报告.
研究的目的:
- 在重症患者中使用FMS后报告两个阴道穿孔病例.
- 突出FMS在脆弱患者群体中可能导致严重并发症的潜力.
- 提高医疗保健专业人员对FMS相关风险的认识.
主要方法:
- 一系列病例描述了两名患病危急的女性患者,她们患有阴道穿孔.
- 对FMS使用,持续时间和患者结果的审查.
- 讨论管理策略,包括由于患者的不稳定性而进行保守的治疗.
主要成果:
- 两名患者在FMS安置后 (19天和4天) 经历了阴道穿孔和便泄漏.
- 由于手术修复的不稳定性,这两名患者都需要保守的治疗.
- 患有并发症的重症患者有更高的FMS并发症风险.
结论:
- 阴道穿孔是FMS使用的潜在并发症,特别是在重症患者中.
- 凝血病,如传播性血管内凝血 (DIC),可能是FMS的相对禁忌.
- 医疗保健提供者必须仔细监测FMS的指示,放置,并定期重新评估.
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