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42例喉癌围手术期护理体会

Perioperative nursing for 42 patients with laryngeal carcinoma
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摘要 目的探讨喉癌围手术期的有效护理措施。方法回顾性分析我院2002年12月至2011年12月42例喉癌病人的临床资料。护理要点:术前宣教、术前准备、围手术期营养支持、呼吸道管理、术后并发症的预防和处理。结果42例病人均顺利康复,心理状态平稳,呼吸道通畅,均不同程度恢复发音功能,能与人正常沟通,10-14天经口进食,切口感染1例,肺部感染1例,无咽瘘、套管堵塞等严重并发症,无死亡病例。结论手术是治疗喉癌的主要方法,有效的围手术期护理可减少术后并发症,提高患者的生活质量。 Objective To explore an effective perioperative nursing measure for laryngeal carcinoma. Methods The clinical data on 42 patients with laryngeal carcinoma were retrospectively analyzed. The key points of nursing care were preoperative guidance, preoperative preparation, perioperative nutritional support, management of respiratory airway, prevention and treatment of postoperative complications. Results 42 patients all recovered, were psychologically stable, had clear respiratory tracts, recovered pronunciation in different degrees, could communicated with others normally and began to take food through mouth 10 to 14 days after the operations. Wound infection and pulmonary infection occurred in one patient respectively. No severe postoperative complications such as Pharyngeal fistula and cannula blockage et al occurred. No one ended in death. Conclusions Operation is an important measure for laryngeal carcinoma. Effective perioperative nursing can reduce postoperative complications and improve the patients, quality of life.
出处 《国际医药卫生导报》 2013年第9期1373-1376,共4页 International Medicine and Health Guidance News
关键词 喉切除术 围手术期 护理 Laryngectomy Perioperation Nursing
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