TreatmentAnd Nursing of A Case of Gastroesophageal Fistula Complicated by Tracheostomy
Objective:To analyze the conservative treatment and nursing experience of a patient with tracheoesophageal fis-tula after tracheotomy.Methods:When patients had tracheoesophageal fistula,tracheal intubation was inserted through the tracheotomy opening guided by fiberoptic bronchus beside the bed,which strengthened the nursing care of tube fixation,balloon pressure measurement,tube fixation connected with ventilator and gastric tube and jejunum tube.At the same time,closely observe the condition and psychological state,and give psychological care and other measures.Results:After a series of treatment and nursing,the patient's health condition gradually improved,the fistula gradually healed,and finally a-chieved the expected therapeutic effect.Conclusion:For tracheotomy patients who need long-term mechanical ventilation and are difficult to go offline,nurses should be highly alert to the occurrence of tracheoesophageal fistula.