颈髓损伤引起食管节段性血运障碍和气管食管瘘的护理分析  

The esophageal segmental blood circulation disorder caused by tracheoesophageal fistula care

作　　者：曹圣芹[1] 王乔利[1] 程银花[1] 

机构地区：[1]山东省济南市第四人民医院,250031

出　　处：《中国医疗前沿》2012年第18期77-78,共2页China Healthcare Innovation

摘　　要：目的探讨食管瘘、气管食管瘘与血运变化的相关因素。方法回顾分析我院骨科颈髓损伤患者2001年1月-2010年12月间收治的颈髓损伤并机械通气、气管插管患者中伴发食管瘘、气管食管瘘病例记录,并结合文献及实际护理经验探讨食管瘘、气管食管瘘的成因,分析颈髓损伤后呼吸肌无力、机械通气、气管插管和颈髓爆裂损伤对造成食管瘘、气管食管瘘的相关性因素,进行经验总结。结果本文报告的3例其中食管瘘1例、气管食管瘘2例全部愈合,顺利接受进一步治疗。结论食管瘘、气管食管瘘在颈髓损伤并发症中与受伤程度、食管血运变化、机械通气、气管插管的措施、时间有相关性。Objective Explore the relevant factors of the esophageal fistula,tracheoesophageal fistula with blood supply,change.Method Retrospective analysis of hospital orthopedic cervical spinal cord injury patients treated between January 2001 to December 2010 of the cervical spinal cord injury and mechanical ventilation,tracheal intubation in patients with esophageal fistula,tracheoesophageal fistula,medical records,and literature and the actual care experience to explore the causes of fistula,tracheoesophageal fistula,analysis of respiratory muscle weakness in the cervical spinal cord injury,mechanical ventilation,endotracheal intubation and cervical spinal cord burst damage caused by the fistula,tracheoesophageal fistula factors,lessons learned.Result This article reports three cases in which esophageal fistula,tracheoesophageal fistula in two cases healed smoothly for further treatment.Conclusion Esophageal fistula,tracheoesophageal fistula in the cervical spinal cord injury complications,measures the degree of injury,changes in the esophageal blood supply,mechanical ventilation,endotracheal intubation,the time correlation.

关 键 词：食管瘘 气管食管瘘 节段性血运 护理 

分 类 号：R473.6[医药卫生—护理学]