Nursing care of a patient with esophageal and mediastinal fistula caused by a fishbone stuck in larynx
Perforation of the esophagus is a surgical emergency with a mortality rate as high as 40％-60％if it is complicated with septicemia,mediastinal abscess,and multiple organ failure.The clinical data of a patient with esophageal and mediastinal fistula caused by a fishbone stuck in the larynx admitted to First Hospital,Guangzhou Medical University in 2022 was retrospectively analyzed.The patient was treated with splitting the left half of sternum,incising neck abscess,mediastinal abscess exploration and drainage,and left subclavian vein suture hemostasis because of mediastinal abscess.After the management of artificial airway,effective drainage of mediastinal drainage tube,nutritional support,psychological nursing,and other nursing measures,the patient was cured and discharged on the 92nd day after the surgery.By summarizing and analyzing the treatment and nursing of this case,this article may provide some references for future related research.
A fishbone stuck in larynxEsophageal and mediastinal fistulaNursing
万方数据
维普
