电子支气管镜下覆膜气道支架置入术治疗肿瘤性食管气管瘘的护理  

Nursing of electronic bronchoscope covered airway stent placement for the treatment of malignant esophageal fistula

作　　者：杨柳[1] 

机构地区：[1]武汉市中心医院呼吸内科,430000

出　　处：《护理实践与研究》2012年第19期67-69,共3页Nursing Practice and Research

摘　　要：目的:探讨在电子支气管镜下进行覆膜气道支架置入术对治疗肿瘤性食管气管瘘患者的手术前、手术中及手术后的方法,以提高肿瘤性食管气管瘘的患者的生活质量及延长生存时间,减少术后的并发症。方法:通过积极的术前护理,局部麻醉,术中配合,及术中心电、血压、指脉氧监测,注重术后护理和并发症的预防。结果:32例肿瘤性食管气管瘘患者均放置成功,覆膜气道支架置入术后,呛咳及肺部感染情况明显好转,生活质量明显提高,术后呼吸困难改善,未发生大咯血及支架移位等严重并发症。结论:积极的术前准备和心理护理,术中的严密监护和积极配合,减少并发症的发生是电子支气管镜下覆膜气道支架置入术成功的关键。Objective：To investigate the metheds of preoperative,intraoperative, and postoperative care in the treatment of neoplastic esophagotraeheal fistula surgery by the airway membrana tectoria cochleae stents ,in order to improve the quaiity of lifo and prolong survival time of patients with neoplastic esophago- tracheal fistula, reduce postoperative complication. Methods：We investigated the effect of nursing through positive preoperative nursing,local anesthesia, op- erative cooperation, monitoring with the intraoperative electrocardiogram, blood pressure, oxygen saturation, positive post -operative nursing, and the preven- tion of complications. Results ： All 32 cases of neoplastic esophagotracheal fistula patients were successfully placed airway stents, after these operation, we found excellent nursing could markedly reduce cough and lung infections, significantly improve the quality of life, improve the postoperative respiratory diffi- culties, eliminate the occurrence of massive hemoptysis and stent migration. Conclusion：Through positive preoperative preparation and psychological nursing, intensive intraoperative care and actively operative cooperation, and the prevention of complications, we found that these factors are the key to the success of airway stentmg

关 键 词：电子支气管镜 覆膜气道支架 食管气管瘘 护理 

分 类 号：R473.73[医药卫生—护理学]