自体游离空肠移植重建下咽颈段食管病人的护理

Nursing care of patient undergoing autogeneic free jejunum transplantat ion for reconstruction of hypopharyngeal and cervical segment esophagus

[目的]对自体游离空肠移植重建下咽颈段食管的护理进行总结。[方法]总结、分析了13例自体游离空肠移植重建下咽、颈段食管病人的护理过程。[结果]13例病人中12例恢复顺利,无护理并发症发生;1例移植肠管部分坏死。出院随访13例病人均健在。[结论]术前进行个体化的心理护理,重视肠道准备及营养支持,术后重点做好体位护理,做好生命体征及血氧饱和度监测及护理,排气、鼻饲饮食的观察与护理;气管切开、全喉切除术护理;并发症的观察及预防。

Objective： To summarize the nursing care of patients undergoing autogeneic free jejunum transplantation for reconstruction of hypopharyngeal and cervical segment esophagus. Methods： The nursing procedure for 13 patients undergoing autogeneic free jejunum transplantation for reconstruction of hypopharyngeal and cervical segment esophagus was summarized and analyzed. Results： 12 patients recovered successfully, and no nursing compfications occurred in them; partial necrosis occurred in transplanted intestinal canal in a case. Follow-up found that All 13 patients were living and well. Conclusion：Before operation, individualizing psycho- logical nursing should be carried out, bowel preparation and nutrition support should be thought highly of; after operation, body position nursing, monitoring life sign and saturation of blood oxygen, observation and nursing care of aerofluxus and nasal feeding diet should be done well; as well as nursing careof incision of trachea and total laryngectomy should be carried out well; complications should be observed and prevented.