Children after ileostomy, due to excreta characteristics and improper nursing and other reasons, causes waste collection difficulties. Leakage of intestinal waste leads to wound infection. Wound infections further increase the difficulty of collecting excreta. Alternate circulation exacerbates wound infection. The wound was seriously infected until the whole layer split and the intestinal tract was exposed. Even endangering life. Thus, in these cases, it is particularly important to effectively collect bowel contents at the intestinal stoma, promote wound healing, and save lives. This article summarizes our experience in the nursing of a pediatric patient with wound infection and bowel evisceration following ileostomy. Comprehensive assessment of children, setting care targets, implementing holistic care. For local situations, the ostomy devices and supplies were appropriately used to enable the effective collection of liquid stool. Guided by the theory of wound bed preparation and wet healing theory, a self-made simple negativepressure device and modern wound dressings were used in different stages of wound development. In order to effectively manage wound exudate, remove necrotic tissue and promote granulation growth. Finally, promoting wound healing. Through the above nursing methods, oral waste can be collected effectively. The open bowel is well protected. The wounds were smoothly healed, and the patient was discharged on day 32.
Keywords: Ileostomy; negative-pressure drainage; nursing; wound bed preparation; wound infection.