儿童食管狭窄内镜下治疗护理全流程管理

Management of the whole process of endoscopic treatment and nursing for children with esophageal stenosis

儿童食管狭窄是指各种因素导致的食管内径变窄,引起吞咽困难、进食障碍及呛咳表现,进而引起患儿营养不良及生长发育落后。儿童食管狭窄多为良性,包性先天性和后天性食管狭窄,后者常见于物理损伤、化学性腐蚀等原因。食管狭窄治疗包括外科手术和内镜下微创治疗。随着内镜诊疗技术的迅速发展,内镜下食管狭窄诊疗技术以其较高的安全性和有效性在临床得到推广。而护理配合在围手术期管理中至关重要,包括充分的术前准备、精细化的术中配合以及术后随访。

Esophageal stenosis in children refers to the narrowing of the inner diameter of the esophagus caused by various factors,which leads to dysphagia,eating disorders and bucking,and then causes malnutrition and growth retardation.Esophageal stenosis in children is mostly benign stenosis,including congenital and acquired esophageal stenosis,and the latter is often due to physical injury,chemical erosion and other reasons.The treatment for esophageal stenosis includes surgery and endoscopic minimally invasive treatment.With the vigorous development of endoscopic technology,endoscopic diagnosis and treatment of esophageal stenosis has been widely promoted in clinical practice because of its high safety and effectiveness.Nursing cooperation is very important in perioperative management,including adequate preoperative preparation,meticulous intraoperative cooperation and postoperative follow-up.