1例先天性喉裂合并喉软骨软化病患儿的围手术期护理

Perioperative nursing care of a pediatric patient with laryngeal cleft complicated with laryngomalacia

总结1例先天性喉裂合并喉软骨软化病患儿在全身麻醉下行喉裂修补、声门上成形术的围手术期护理经验。护理要点:重视营养管理,改善术前营养状况;落实误吸风险评估与预防策略,降低术前吸入性肺炎发生风险;加强切口护理,预防术后吻合口破裂;强化气道管理,改善术后肺部症状;制订出院服务计划,提升出院准备度。经过精心的治疗与护理,患儿于术后28 d康复出院,随访1年,恢复良好。

To summarize the perioperative nursing care of a patient with laryngeal cleft complicated with laryngomalacia after endoscopic laryngeal cleft repaired.The key aspects concerning nursing included the impose of importance on nutrition management to improve preoperative nutritional status,the implementation of aspiration risk assessment and prevention strategies to reduce the risk of aspiration pneumonia before surgery,the strengthening of postoperative care to prevent anastomotic rupture,the strengthening of airway management to improve postoperative pulmonary complications,the development of a care plan to improve discharge readiness.Following appropriate and successful perioperative treatment and nursing care,the patient was recovered and discharged from hospital 28 days after operation,and showed good recovery after 1 year of following up.