Nursing care of postoperative complications in patients with corrosive esophageal stenosis undergoing colon transplantation for esophageal replacement surgery
Nursing care of postoperative complications in patients with corrosive esophageal stenosis undergoing colon transplantation for esophageal replacement surgery
To summarize the observation and nursing care of postoperative complication in 7 children with corrosive esophageal stenosis undergoing colon transplantation for esophageal replacement surgery.The nursing points included:Establishing an interdisciplinary collaborative team to provide targeted treatment and care based on the different characteristics of postoperative complications;Paying attention to assessment and intervention of postoperative reflux and aspiration;Early identification and rehabilitation care for dysphagia;Implementation and nursing of pulmonary infection and early respiratory function training;Assessment and prevention of cervical anastomotic stenosis and maintenance of the stoma;Personalized health education and follow up.Within two weeks after surgery,4 of the 7 patients experienced reflux,1 had aspiration,1 had dysphagia,and 5 had pulmonary infections.Within 2 months of postoperative follow-up,there were 2 cases of skin infection around the stoma of the gastric/jejunostomy.There were 2 cases of cervical anastomotic stenosis within one year of postoperative follow-up.After meticulous treatment,care,and follow-up,the esophageal function of 7 children with colon replacement esophagectomy recovered well.After(5.83±1.95)days of surgery,parenteral nutrition was stopped and oral feeding gradually resumed.After(43.00±7.51)days of surgery,gastric/jejunostomy was closed.Two children with cervical anastomotic stenosis underwent esophageal dilation surgery,and the postoperative recovery was good.
关键词
结肠/食管狭窄/移植/手术后并发症/危重病护理
Key words
Colon/Esophageal Stenosis/Transplantation/Postoperative Complications/Critical Care Nursing
维普
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