摘要
总结1例梨状窝癌行喉全切除+胃代食管胃咽吻合及胸大肌修补+双颈淋巴结清扫术后患者负压引流及切口渗液的护理经验。观察患者不同位置负压引流液的色、质、量及胃咽吻合口渗液变化特点,预防吻合口瘘和咽瘘发生,关注管饲饮食等措施确保术后顺利转归。患者不同部位引流液的色、质、量正常,输血纠正贫血,肠内营养逐步增加满足生理需求,经过精心治疗和护理后患者病情平稳,于术后第7天转出监护室,术后第18天情况稳定予以出院。术后负压引流液及早期吻合口渗液变化规律的识别与监测以及有效的肠内肠外营养可以预防术后并发症的发生。
To summarize the nursing experience of negative pressure drainage and incision exudate in a patient with pyriform sinus carcinoma who underwent total laryngectomy,gastric replacement esophagogastric anastomosis,pectoralis major repair,and double neck lymph node dissection.To observe the color,quality,and quantity of negative pressure drainage fluid at different positions of patients,as well as the characteristics of changes in gastric pharyngeal anastomotic exudate,prevent anastomotic leakage and pharyngeal fistula,and pay attention to measures such as tube feeding diet to ensure the smooth postoperative outcome.The color,quality,and quantity of the drainage fluid from different parts of the patient were normal.Blood transfusion corrected anemia,and enteral nutrition gradually increased to meet physiological needs.After careful treatment and nursing,the patient's condition was stable.The patient was transferred out of the intensive care unit on the 7th day after surgery,and was discharged from the hospital on the 18th day after operation in stable condition.The identification and monitoring of changes in postoperative negative pressure drainage fluid and early anastomotic leakage,as well as effective enteral and parenteral nutrition,can prevent the occurrence of postoperative complications.
作者
汪燕萍
彭峥嵘
史琛吉
李卫星
徐成志
WANG Yanping;PENG Zhengrong;SHI Chenji;LI Weixing;XU Chengzhi(Eye and ENT Hospital of Fudan University,Shanghai,200031,China)
出处
《中西医结合护理(中英文)》
2025年第5期233-236,共4页
Journal of Clinical Nursing in Practice
关键词
梨状窝癌
胸大肌修补术
胃咽吻合术
并发症
护理
pyriform sinus carcinoma
pectoralis major repair
gastric pharyngeal anastomosis
complication
nursing
